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� <br />�Oi � n��.^7 u9�,3d NR�r:a�dT n MERriL PE 3F�u221533' » E� � <br />ENGINfERING�PUBLIC SERVICES DEPARTMEN'� <br />COST ES7IMATE FOFt pERMIT FEE CALCULATION <br />Date: `ilZ1/f'7 <br />Public Works Permit �o.: 1)��' ��j, �-, <br />PR07ECT NAME: . Mq�lt' WC�d C�e�'� i' � <br />LOCATION: '�c•LC it2}-►� �l-�2'�r :�G <br />DEVELOPER: rMN bc'ue���rnE+ito-,, �.I.L i <br />Name: <br />Address: <br />City/State/Zip: <br />Contad: <br />Name: <br />�1�7i1E'. 1=Cr1'll e�l <br />1572o M(tir� S't�c c f.`•��:�tc; 2�c� <br />h1ii� crc�cl�, dvA ��fr� �. <br />(�4z��) 3`�7-C2F•e.---..__ — — -- <br />�C�1,i hhitin�tc�, L'�rT'i' � �=i'� i-. �(1(:. <br />---- -f---- -----�-- <br />Address: isc•:�r Jc,i�i�h7•� Wcr�i�r'r��He Wa�� Nc _ <br />City/State/Zip: C'ki1"��ell, WA �jEri� <br />�h2.5� l�S-4�t'i �._----- <br />Asphalt Paving (Sq. R.): �, 5rt;_ �` _ <br />Total of Publlc Improvements: <br />7otai of Private Improvements: <br />q, 3F� . f�c <br />43,12�� c� <br />. .����._ .^+' �.����� For OHice Use Onlv �.... y— ��. <br />Permit Fee: <br />�r <br />Asphalt Paving: g_ �% � <br />Plan Review Fee: g 7�' �. ��- <br />Inspectlon Fee: $__ _ / 3 � y � <br />Performance Guarantee: <br />(IJ x cost UI Punur Inryrovements) <br />rota I <br />�.3 <br />g--- z�h� . <br />iHIL�XI'^�y,�,M !41 •�4Y1' 111 �. V r . <br />