Laserfiche WebLink
� '. <br /> C�ST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: I o 00 <br /> Public Works Permit No.�9'f jo--B3S <br /> P wc�o�i-o c�g <br /> P�,�JECT NA,�1E: IC�,(ZL Q�E�'�' <br /> LOCATION: _�pq ►�tJ. C1451ND QD14(� <br /> DEVELOPER: _ �-f3�r �p�4S1�,uGi1 pnf <br /> Name: KJA�1_ Q�EST <br /> Address: QU QpX �790 <br /> City/State/Zip: _ SNOI�DMISFI, wA 98t91 �1790 <br /> 1'elephone: (47J�� �7- 0139 __. <br /> COIYTACT: <br /> N,une: ���- �jES'r -- <br /> Address: PD gDX 1790 _ <br /> City/State/Zip: S�DP{orv11er1� bJ M� q�iZ�I � l'190 <br /> Telephone: [47�) 39�-0139 <br /> Asphalt Paving ( Sq. fl) 4050 <br /> Total of Public Improvements $ 2�550,DO _ <br /> Total of Private Improvements $ �.l25.00 <br /> For o�ce u.<e only <br /> PF.RMIT FEE: � <br /> Asphalt Paving $ Z� <br /> Plan Review Fee $__���- <br /> Inspection Fee $ �Z 80 � <br /> Performance Guarantee $ <br /> 11.:X cost u(Public Impmvemenu) j� <br /> �v,,.i <br /> TOTAL $ �� �O� <br /> ��S <br />