Laserfiche WebLink
ENGINEERINCIPUbUCSERVICESDEPAR7MEN T <br />•did' <br />COST. ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: <br />Public Works Permit No.: <br />PROJECT NAME: /y lsf" Lpt SA&rt 19b--t- <br />LOCATION: 5q /O � rV/ee4v 4ve, Vyw-tt W /9 C . <br />DEVELOPER: <br />Name: /ti%--,L1 <br />Address: <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />5 4/ O AW, <br />F"I t7,e-e Yl" <br />,q2-29 76 5Y. IVE - She . 20Y <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />For Office Use Only <br />Permit Fee: . <br />Asphalt Paving: $ <br />Plan Review Fee: $ <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Total: . <br />$ <br />$ <br />$ <br />DEDI/BROOKS/COST EST-PERMrr FEE CALC <br />