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o § r <br /> ENGINEER ING/PUBLICSER MES DEPARTMENT <br /> r E{� ElT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: <br /> Public Works Permit No.: <br /> PROJECT NAME: lyoy—A <br /> LOCATION: Loi, T t)L t ver2-ff /j6,/Y4 <br /> DEVELOPER: ���'t �� j:-:yeret <br /> Name: Cvr1f c�,�' : poo L Uis <br /> Address: (� �, BOX <br /> City/State/Zip: F—ye r e w, W✓ 01f, 16 <br /> Contact: I / <br /> Name: /-jLt�j �2 Pc Gll�f��'r , ,k�i e r c/ �i�4a/✓17 '771C. <br /> Address: US SY fe f S,l�l S c`c 2 c� <br /> City/State/Zip: L' VeCr- Qr <br /> Asphalt Paving (Sq. Ft.): dgZe e 0c) <br /> Total of Public Improvements: $ ,510 3 U ✓ <br /> Tia✓i�5 �" <br /> Total of Private Improvements: $ , ?- R-1 bo�n = S/Sj)Oa <br /> Sion Baa t firs, oc)� = i, 32S`3,��y <br /> For Office Use Only <br /> Permit Fee: <br /> Asphalt Paving: <br /> 32 L' <br /> Plan Review Fee: �)X p "Is- $ 717 <br /> Inspection Fee: I; % 32v _ $ 3 9, 757 <br /> x 0,03 D <br /> Performance Guarantee: <br /> (1.2 X cost of Public Improvements) <br /> G <br /> Total: $ <br /> DEDI/BROOKS/COST EST-PERMIT FEE CALC <br />