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ENGINEERINGiPUBl1C SERVICL�S DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PRO]ECT 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�'��' <br />4�1 � ��� f ��� <br />U <br />� � ,� � (,l% �Z� <br />Total of Public Improvements: <br />Total of Private Improvements <br />N/� <br />� 3 �Co c� _ <br />$ � <br />For Office Use Onlv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee <br />(1.2 X cost of Publi[ Improvements) <br />Total: <br />DEOI�OROaKS(COST [5T-FE0.MR IEE UtC <br />$ � <br />� yD •�}0 <br />g � �, b0 <br />� (VO � P'G u� <br />�7l .20 <br />N Z„ <br />� <br />�.AG,n. i �. �✓,�ZG <br />�a�r.�. <br />T✓G�2 �tr�s��— <br />� � � -� 0^Q <br />S;n�(R �� � � <br />'�3 <br />