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4 <br />1 <br />:� <br />ENGINEERING/PUBLICSERVICES DEPARTJ�IENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: 2 • 'i' • or� <br />Public Works Permit No.: ,�11— �IZ <br />• � � / 1 I �� � .� �..:a� � <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />2f�V 7� G+ GV VFT�r�' I�Mi� W'/�V <br />. � <br />� _.� �' � :..+ <br />�yi■ ' - ' 1[ •. <br />_' � .�.r� __ '� <br />4�AI�t1A1�K�l Got.�'�I�tl.'C11.k:� E1J6�►�1JE�?�S <br />�t�'1� llDkl l i"T" <br />��zi� �a�e. �vE. �. <br />�ity/state/zip: j�1..�.I�CId,. 98��►�- <br />� <br />Asphalt Paving (Sq. Ft.): �%�d ��Y�1 �l 2'� <br />Total of Public Improvements: <br />Total of Private Improvements: <br />� - �( (�� � 1' Z� <br />� — 32� 2��a <br />._— <br />For Office Use Onlv <br />Permit Fee: [',�Us;G� ���- <br />Asphalt Paving: $ � '� <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Tota I : <br />���-z ������ � . <br />DEDI/BROOKS/COSi EST-PERMIT FEE CALC <br />� 38 � 55 <br />� 77,10 <br />� ���r � <br />��I,�OO� <br />b�� <br />