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0 <br />� <br />� <br />COST ESTIMATE FOR PERMIT FEE CALCULA"1'lUlv <br />PRO,IECT NAME: <br />LOCATION: <br />DEVELOPER: <br />Nvne: <br />Address: <br />City/51ate/7_ip: <br />Tclephunc: <br />CONTACT: <br />Namc: <br />Address: <br />Ciry/State/Zip: <br />Telephone: <br />Date: �n—Z3-�� <br />Public Works Pertnit No. �I���a0�30 <br />�I� i11uG�ronZ� �our-� ��dovn�r�uwi5 -- <br />510 -15�1-� � SE <br />No�kl�, `J�ir (�� st --- <br />A:;phalt Paving ( Sq. ft� <br />Total of Public (mprovements <br />Total of Private Improvements <br />Par oftice use only <br />PGRMIT FEG: <br />Asphalt Paving <br />Plan Review Pec <br />Inspection Fec <br />— :'/D`7�J/� Can-�v�1 <br />( I.. \ cosl of Public Improvomcros) <br />TOTAL <br />��'f-� �l � <br />G�"J s {�.__ <br />��i�-- <br />� ��p 11b _ <br />$ �i.� � <br />$ LcZi' <br />$ I 2 4Z' <br />$ �� <br />g 1�11�2� <br />G.3L'D, - <br />�J <br />� m <br />�7 <br />