Laserfiche WebLink
. � <br /> , <br /> �'!IGINEERINGiP�/BL IC SERVIC�S D�EPARTMENT <br /> COST ESTIMATE FOR PERMTT FEE CALCULATION <br /> Date: <br /> Public Works Permit No.: �►�✓ I UO3-0! Z <br /> PRO7ECT NAME: 7-'Gv���� �F,��G�- <br /> LOCATION: 1 Ul� f l0/9 �1�� �I �� �a� <br /> �rf%o�: �tii� �2�f,�. <br /> Name: �./ [L <br /> Address: 2'7L � r�. �u/T� i� <br /> City/State/Zip: ��'L�t'/ ��f� �7,01 <br /> i <br /> Contact: <br /> Name: �NI� <br /> Address: <br /> Ciry/State/Zip: <br /> Asphalt Paving (Sq. Ft.): (�S 7 7 <br /> Total of Public Improvements: $ 53 76, 50 <br /> Total of Private Improvements: $ 6 �y. 0 D <br /> For Office Use Onlv <br /> Permit Fee: <br /> Asphalt Paving: $_ �� <br /> 6 <br /> Plan Review Fee: $ � 7� --' <br /> Inspection Fee: $ 3�� <br /> � <br /> Performance Guarantee: $ <br /> (1.2 X mst af Publlc Improvemen[s) �� <br /> Total: $ 3 ,3 Z <br /> DE�IlBROOIWCOSf C57�CERHR F[E ULC <br /> �/� ! <br />