Laserfiche WebLink
�,i!':� <br />�,3 <br />'" Ev Err <br />ENGINEERIIVG/PUBLIC SERVICES DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PROJEC7' fVAME: <br />LOCATTON: <br />DEVELOPER: <br />Name: <br />Address: <br />l,j �G { ii� ��i �� c. <br />Date: � — ' � �' U`� <br />Public Works Permit No.: WVt! G�/�-��(�`� <br />3�1� �ve �w� � G��,�r.,' <br />'�3�- I `� �1`� �-G iT�l <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Asphalt Paving (Sq. Ft.): <br />Total of Publi� Improvements: <br />Total of PrivatQ Improvements: <br />/ <br />$ � Z,`i'7D <br />� � <br />For Ofnre Use Onlv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspe�tion Fee: <br />Performance Guarantee: <br />(L2 k mst oi Public ImprovemenLS) <br />Total <br />:.EDi!0500r5'COv EST-,'°tMli PEEULC <br />� <br />� ��•�� <br />� a �2 . �� <br />5 <br />s ����''� <br />/5 <br />J <br />