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ENGINEERINGIPURNSER VICE DEPARTINENT <br />EY 1T <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: q 11 05 <br />Public Works Permit No.: Mo CV1 <br />PROJECT NAME: A44'��; fi�CT ( A-4 el <br />LOCATION: !J)21^'S13� NASSALI g7: ey �, VA 0)9:4p/ <br />DEVELOPER: <br />Name: - <br />Address: LID24 4wfT A1ri 5.» 104 _ <br />City/State/Zip: E�'ye-g-t ,0 WA 00� <br />1 -- <br />Contact: <br />Name: %tiL- <br />Address: <br />City/State/Zip: WA <br />Asphalt Paving (Sq. Ft.): 12; f Sty <br />Total of Public Improvements: <br />Total of Private Improvements: <br />$ <br />Fnr 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 Public Improvements) <br />Total: <br />DEDI/BRDDIWCDST EST -PERMIT rEE CHIC '�� <br />