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ENGINEER ING/PWIC SER VICES DEPA R 7 MEN T <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: aS Z/ / Q e <br />Public Works Permit No.: <br />PROJECT NAME: 6Aa-*JD AV"U6' SHOAT ac a-r <br />LOCATION: <br />DEVELOPER: <br />Name: - <br />Address: . <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />CHRls -3us.4j <br />CW,riIs 3uSIA <br />ZS-'V TflYLb2 172iVE <br />A. <br />MIAttK- �/)L4aJbuL <br />J,Y_701 AJ6 Zoa rH sY. <br />WOO-DoN v) c.c.e' UJ A WD 7Z <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <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 />DEDI/BROOKS/COST EST -PERMIT FEE CALL <br />.310 0 %y, 13S.60 <br />For Office Use Only <br />$�� <br />$ f7,0 <br />