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ENGINEERING/PUBLICSERVICES DEPARTMENT <br />EY ETT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: 201 <br />Public Works Permit No.: PW I ` Q3 OOZ <br />PROTECT NAME: 17t�.oAt�(.�R�l ���S^ -rcra r- <br />LOCATION: 1610 AI PP,oAnIaAY , Cy, C- 96117 T, W P �S po <br />DEVELOPER: `TPKGuCy n- FF)E- ( OM(°AMY <br />Name: <br />Address: 9401 IJTair five J. <br />City/State/Zip: SFA'T'Tt.t= WIQ 15813LI <br />Phone: tgoep) n31%- )SAS email: <br />Contact: <br />Name: ACIi Ivlq jVKprr <br />Address: 11 g55 k,A,,(_AAjn \A149y , SilI-rc <br />City/State/Zip: JRM,LANC�o, WA 01039 - 0"i IS <br />pRlenr,C; 86,85 AGfi 2139 MC = II147-1 sf <br />Asphalt Paving (Sq. Ft.): �� o AC_ O Fr-C }btu 1�ttukr� <br />Total of Public Improvements: $ R ZZO <br />Total of Private Improvements: $ 6/0go/ 3. =° <br />Phone: 4 20/y _email: k @ a feeppi rA, co^•yL <br />For Onice Use Oniv ' 1 1 " r'10 M e S f ` t 7,0 <br />Permit Fee: e�(J iY ' 1 <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Total: <br />CM EST FEE CAC - 2014 <br />