Laserfiche WebLink
d a� � : • �a r��� � � <br />COST ESTIMATE FOR PERMIT FEE CALCULA7ION <br />0 <br />m <br />= <br />� <br />0 <br />9 <br />P�07ECT NAME: <br />0 <br />L�CATION: <br />D�VELOPER: <br />0 <br />� Name: <br />0 <br />N Address: <br />� <br />m <br />Date: _lZ- l-�o <br />PublicWorksPermitNo.: �'����U-�ZL <br />MoNFY T,e�� <br />= N 3 I r.l � B R �,�� a� w r��i <br />, ` <br />_ �,a,�c�R �.v�.15Tr2 uGiii7vt � h �v. <br />Ciry/SCate/Zip: <br />Contact: <br />" Name: <br />9 <br />< � <br />� ; Address: <br />�a <br />� � City/State/Zip: <br />�N <br />n <br />r <br />D <br />� <br />� <br />0 <br />�.i o �. S�i�vY <br />"i11 � 5r'�/Y3..�i11C'. /�VC� <br />��o,ca-c�e w�, 49zo�-. <br />� <br />_�_✓ h� t� SlIY W E l� S <br />�z� l�l 5,1J; v � <br />S/�uKu,vi e l%a �l� UJt4 99� l�v <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Tokal of Private ImprovemenL�: <br />�, 55 � <br />$ S, 9 �J �l � o'O <br />� • ! r� <br />T <br />_� - 'a�__ <br />�—f0f l�(fl[P. lJ$E Of1�V <br />Permlt Fee: � ,� <br />� Asphall Paving: $ �'J_ — <br />N 2�� � c <br />Nlan Review Fee: $ <br />s <br />Inspection Fee: $ � Z �' <br />�ertormance Guarantee: $ <br />(1.2 X Cost of Pu01lt tmpravanenLs) � <br />Toial: $ l, �. 3 '��-. <br />: ecUauoowmsr es7ArArer rte tuc <br />;�; 75'��{ V1�55 7J?�JO >;=�7� GTSG-LGE—SLb <br />OC�it 0S0Z/T0/ZT �`� <br />� , / <br />�� _� <br />