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ENGINE��RINGiPUBLIC SERVICI�.S DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PROJECT NAME: _ <br />LOCATION: _ <br />DEVELOPER: _ <br />Name; <br />Address: <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Asphalt Paving (Sq. Ft.): <br />Date� —� 3-�v <br />Public Works Permit No.: �a0�'�' <br />� 1,1-� I : (�iv✓� <br />P(� 0 433 <br />`�,,.p %ti0w, ,� /� (,l% �i'�Z�` <br />Total of Pubiic Improvements: <br />Total of Private Improvements: <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Peifiormance Guarantee: <br />(1.2 X cost o( Pubiic ImprovemenLs) <br />Total: <br />N/� <br />$ 3 �Cv c� � <br />� � <br />For Office Use On� <br />� �� <br />� ��/�: Y�G�v f� � <br />N Z., <br />. � <br />�r�L .�rv.'tc <br />��r.`�• <br />T✓a�i �tt�s��+— <br />sV" �'(R .�,,` ; � c,M`C . <br /><1 <br />oeeue�oors�msr Esi �reann r ce caic '/ <br />3 <br />