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Oti�16/2006 1�:37 2�36534�167 MILLER HAYASHI ARCH <br />ENGINEERINGiPUBLIC SERVICFS DFPARTMENT <br />Err <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PAGE tl2 <br />Date: fo Lr. o�._. <br />Public Works Permft No.: �3 0 �o v=.�13 <br />PRU]ECT NAME: G/IGSv //2ri+ st-wee r �"'�� <br />LOCATION: �y9 11211� S}rrcl- Stti <br />DEVELOVER: i, N L n� Sn✓ hd wu th Coun l-v �_ <br />Name: om '�c�1.(��'+ Crntivs af Sh�M�rh,;�h Cna..l-Y <br />Address; <br />CiLy/State/Zip: <br />Contact: <br />Narne' <br />Address: <br />City/State/Zip: <br />p. o, bo x / 3o i��jctr_tl�- <br />-E`'�—�—w'� q`P �u�r ----- <br />$h��en K.he.tln �� �rKcc fi�y�sA� <br />_// 8 N. �5 !" SMrc }' S�i}� 2eo <br />Asphalt Paving (Sq. Ft.): <br />Sta �ll/r ' w.l _ ?t"/�3 <br />Total of Public Improvements: <br />Total of f'rivate Improvernents: <br />_ `� 'la 6a o — <br />$_ i y, 'S a _ <br />$_ /5S' . 910 <br />For Off�[e Use Oniv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />f'erformance Guarantee; <br />(�.z x co�t ot nuboc �mvrovemenL) <br />Tota I: <br />� � � � soox c? ca.�'� <<f-� so � <br />��;,, ,'_ <br />� /3-3,i��x O,Cis'� --L�bOS�D `rF • <br />� � .��,��c C?, � 3 � �a I ( . 6 r� J <br />$_L i74 � i-, �_ �_ �J_ �' TTf, ry �-�-�/_�_- <br />� � � �l.'� . �%� _ <br />Cf[�'na[Ul�,CG'T C7-nr:U�lr FEE iqlC � r <br />\\ <br />