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� �}ti.: <br />�Y+r.: <br />;. Ev Err <br />aa'�,`�,'. <br />ENGINEERINGiPUBLIC SERVICES DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PRO]ECT NAME: <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />Cib�/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Date: / � = • / <br />Public Works Permit No.: �rD(1(�-oD� <br />I�. ' � .. ' '.' . � , <br />�. . <br />,�� r� ; <br />5��..=ri, !,?' <br />�, _. � `� � i <br />=' I C_�'-I <br />, <br />a <br />Asphalt Paving (Sq. Ft.): �'-- `�,`�= ZS6,4�� <br />Total of Public Improvements: $ 7'-� �'�'� ` <br />Totai of Private Improvements: $ �,"I f�'� `' ; - Pav..��; �27, 9 Z�� <br />4 5i• 5�70 � 73 �� o- � Q SD, S'7�7 <br />- ,. <br />� �� �30 <br />—_=---_____�_ ---_-� <br />For Office Use Onlv <br />Permit Fee: <br />/�' s <br />Asphait Paving: �X r ioS = �r / 282 � <br />Plan Review Fee: ti23 Y 3c - $ 7�� � 9s <br />x c,��s <br />Inspection Fee: 5.�:? 5.3` �/,5"•7� 7 9c <br />x c.c;�' _ <br />Performance Guarantee: �_ <br />(1.: X cJs[ oi Pnh6C Irnprecemeni5) <br />-rotai: � 24- ,3� � s-° <br />._ � �.�:,..,�: �:�,,::. �� <br />