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1600 MADISON ST 2016-01-01 MF Import
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1600 MADISON ST 2016-01-01 MF Import
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Last modified
4/12/2017 11:00:36 AM
Creation date
2/17/2017 9:51:17 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
1600
Imported From Microfiche
Yes
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COST ESTIMATE FOR PERMIT FE� CALCULATIUN <br />Date: <br />Public Works Permit No. f�G�(JoiG.3-G(`j � <br />PROJECT NAME: �F i re ��i DI'i ��7 <br />LOCATION: � �G�n I'1'l�i �v1 S-�rect <br />DEVELOrER: <br />Name: <br />Address: <br />City/5tate/Zip: <br />Telephone: <br />CONTACT: <br />Name: h(i`l' ��C <br />Address: <br />City/State/Zip: <br />Telephone: 2l7`��(% <br />Asphalt Paving ( Sq. fr) G� 17S <br />Total ofPublic Improvements $ -� C� � �`i� _ <br />Total of Private Improvements $�' <br />PERi�IIT F�E: <br />Asphalt Paving <br />Plan Review Fee <br />For oflice use only <br />Inspection Fee <br />Performance Guarantee <br />(1.'_ � cos� of Public Impravements) <br />TOTAL <br />$ ( � (� <br />$ Rn�,' <br />� i��y,� <br />$ <br />���? I / <br />y�� <br />
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