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ENGINEERING�/BUC SERVIC�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-�0 <br />Public Works Permit No.: �a0�'�4' <br />� � (.1"t I �irn'v� <br />Pl� o �433 <br />`�,,,fl ►tiow, ,� � u�!' -�f�� <br />Total of Public Improvements: <br />Total of Private Improvements <br />N/� <br />$ 3�Cvc�. <br />$ � <br />For Office Use Oniv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(11 X cost of Public lmprovemenLs) <br />Total: <br />$—� <br />� 50 ��}0 <br />$ I [�. � <br />� �Je� r�tp��c�• <br />�7(•ZO <br />� Z,� <br />� <br />Qp,��,s�;L S�rv,z� <br />(LZJ�✓( �• <br />v <br />T✓Gk7TL K'lfft�'fA+� <br />�, � -F�' 0�. <br />s��.���� <br />�ED:IO�.00K$/COSi 6"T���E0.NR f[E G:IC 1/ <br />�3 <br />