Laserfiche WebLink
ENGINEERING/PUBLIC SERVIC�S DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: � 2_ I i"?�3 <br />Public Works Permit No.: �(Q3[�Q3� <br />PRO]ECT NAME: ,��C(A�L IN'��C�. � A-UT'Ir <br />LOCATION: �a�I/C� EVC-�G'��I Wid-y �E��E�� l.�l� <br />DEVELOPER: A'i?� I!J(�T �F_�'� r !NG . <br />Name: �f}�i/� CrIPSon/ <br />Address; �. �, '�` IJ,SC o��l% S <br />City/State/Zip: (�VE2G--�'"'�'� r,�lA- �'� Z03 - 0778 <br />contact: <br />Name: �i�+21�i' CD�'t/�D0 `PCEr y i�c. <br />Address: ��fl� fU�OSE-��'•e.'t'" Gt/M� i1/� <br />City/State/Zip: �E'�4-,`77� /.�:� �'; �//S <br />Asphalt Paving (Sq. Ft.): I I, �fafo SF <br />Total of Public Improvements: <br />Total of Private Improvements: $ �, 4��- __ <br />For Office Use On�v <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Impravements) <br />Total <br />�S 3 <br />� �i(�,�i <br />� i q 3,Z�o <br />$ / <br />� �hS,ZL <br />s� <br />DEDI/BROOKS/COST EST�PERMIT FEE CAlC 2C� S� f�Z I/� <br />✓ <br />