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Ek lEERING/PUBLIC SERVICES EARTMENT <br /> VETT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> April 2016 <br /> Date: 4/5/2016 <br /> Public Works Permit No.: PW1601-045 <br /> PROJECT NAME: Dutch Bros. Coffee <br /> LOCATION: 2202 Broadway <br /> DEVELOPER: <br /> Name: BB Holdings WA LLC <br /> Address: 300 N Valley Dr. <br /> City/State/Zip: Grants Pass, OR 97526 <br /> Phone: (541) 955-4700 email: <br /> Contact: <br /> Name: PACLAND (Willis Liu) <br /> Address: 1505 Westlake Ave N, Suite 305 <br /> City/State/Zip: Seattle, WA 98109 <br /> Phone: (206) 522-9510 email: wliu@pacland.com <br /> Net Cut/Fill (Cubic Yards): 174 CY (Cut) <br /> Asphalt Paving (Sq. Ft.): 5,090 <br /> Total of Public Improvements: $9,988.00 <br /> Total of Private Improvements: $10,417.00 <br /> For Office Use Only <br /> Permit Fee: <br /> zc /n.A— a,t, /27 4-b..e, <br /> Grading/Fill/� 'cavation: $ f <br /> Asphalt Paving: $ 4S v b <br /> Plan Review Fee: $ /(//,' • g Z— <br /> Inspection Fee: $ ?9T a 661 <br /> Performance Guarantee: $ / 11 q S 6 L-' <br /> (1.2 X cost of Public Improvements) <br /> Total: $ / ) o cei, <br />