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ENGINEERING/PUBLIC SERVICES DEPARTMENT <br /> ;V 14 II r"44 ETT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> April 2017 <br /> Date: bill 11 <br /> Public Works Permit No.: g 7YV 1103 " 641' <br /> PROJECT NAME: V.?P(-A 1S\()Las QoVPk\\G Iku,essl-YZVIIs <br /> LOCATION: ,g-00A W `1(►'O toYote mm(vit• 40)...5 i�1vPr1SiG isi, n/A- <br /> DEMEtOPEliO \9 an-_o IF crAfpre 4\- <br /> Name: \Name: <br /> Address: P • e tX S 3`b <br /> City/State/Zip: gUIVY i\-- WA- <br /> Phone: 6'-ar Zc 3 I.to 4-- email: <br /> Contact: <br /> Name: btroyoti w <br /> Address: s-e, aitOtkei <br /> City/State/Zip: <br /> Phone: +a 3 `0ti 61030 email: - ,t/iGeL\q C@ -Pori Of -eel. 4' Lan <br /> U <br /> Grading/Cut/Fill (total earth moved) (Cubic Yards): 1`15D GY <br /> Asphalt Paving (€t-ft.): <br /> d6S) <br /> Total of Public Improvements: $ } 1 t'd 5'11011q 5) GiktcLu <br /> Sto <br /> Total of Private Improvements: $ <br /> ZZ) I58 <br /> For Office Use Only <br /> Permit Fee: <br /> Grading/Fill/Excavation: $ ?41 <br /> Asphalt Paving: $ <br /> Plan Review Fee: (ZZ)/5-8 $ 9j 33z <br /> x ,D/5 X74 <br /> Inspection Fee: F G zZ, i s s i b <br /> X ,030 v�� f� � <br /> Perfor ce Guarantee: $ 28 4238 — <br /> (1.2 st of Pub Improvements) 2(�O .rasioh Co i7 r L <br /> k'O ref fir Port Total: $ 2gi13 8 1 l D <br /> COST EST FEE CALC-2017 <br />