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ENGINEERING�PI/BlICSERVICl�S DEPARTMEIVT <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 />Date: 5/Z 3 � � <br />Public Works Permit No.: l� C -Q�1 � <br />MJW�soa co�n.���,r� c�wtic.H <br />_LN�� L�oY <br />_6qoo wFr�o� nrs <br />_ E�-nt� , W�A �t 8 u� 3 <br />ST�rr,n.� MRc� 4�-na..ti�,�, � f�sreur� INc <br />P, o. tss� S �b , <br />City/State/Zip: Mw�a� � t�-�A �19 2'l2- <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />�_�o 0 <br />r— <br />$ <br />$ <br />Z' <br />For Office Use Ontv <br />Permit Fee: , -' ���_ 00 �� , _ <br />.. � . <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 7( cost of PuWic Impmvements) <br />Total: <br />�EDI/BR0CM6/CpST ESf �PCRHR FEE CXC <br />$ <br />/,"' :l� l�/tl,v. <br />„ <br />� ( � I ) 2 �,,;�i, <br />g I,I `I�. (� � <br />" � '�. 2-7, �o;',��i � �,'�,;E���c{� � <br />��%' � "� <br />'� G <br />g � � '" Q9�,20 "r,����� f��c x�v�r <br />.� r� i � <br />�, . I <br />�<, ��: ; <br />� 3� r� . 3 i �'' <br />c r� <br />�/ ,. 7 L�— <br />--�,,.�. � r�;a,���r.'�a, _ -� �, <br />