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Or.t 04 04 02:24p Bob �lehrin6 425-259-3821 <br />�`�;r. . <br />�,., . <br />� ENGINEERING/PUBLICSERVICESAEP�RTI►9E/VT <br />� <br />'i4 �. <br />COST ESTIMAT� FOR PERMIT FEE CALCULATION <br />Date <br />Pubiic Works Permit No. <br />/o / e� <br />p.2 <br />P wv��r, . a9G <br />PROJECT NAME: � lV ,H1�S�PJ" <br />LOCATION: / 9/0 —//'L � S-1. S C,� _vc--YtE �'"i- <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip <br />Contact: <br />Name: <br />Address: <br />Ciry/State/Zip: <br />�E ��,� . <br />3;Z /6' wE�En.�o2p_ .4ve .�� 2oc <br />C—VEr��-�-�- (.t�A. yr�Zo( <br />J <br />Asphalt F�aving (Sq. Ft.): <br />Totai of Public Improvements <br />Total of Private Improvements: <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />i 1.2 X Cost o� I+ �Sl�c [mp�cvrments; <br />Total <br />nru:n+un,;.•.._or �. �: cn..�. �, rrc ui[ <br />// / 8 �/ � <br />� <br />$_ PS <br />� r 9 _s z s�' <br />Far Office se nly <br />�L <br />� ss — <br />$ /4 �? L d <br />7 s <br />$� 2 ['l� � <br />..J > <br />�_ 3 / `�.''f <br />l %3 <br />