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ENGINEERING/PUBLICSERVICFS DFPARTNIENT <br /> EI/ ETT <br /> C4ST ESTTMATE FOR PERMIT FEE CALCULATION <br /> April 2014 <br /> Date, A�Fx. 3 � 2D15 <br /> Public Warks Permit Na: I�v�'° � �L'S �' ��� <br /> PRU��CT NAME: ��DQL'��v �?��1� _ <br /> LOCATION. SL�Vit-�'�ST GDr2►,�R. G Dt,��`� � 'Ev'E�2E`TT ��JE�1V�S <br /> DEV�LC�PER: T, t-�Q1-�S �}���L- - <br /> Name: i G'R� ��I�!�r1 <br /> Address: � b - ��� 233 _ <br /> City/State/Zip: �--.�t�l�-Er.�, ��ll� �-4, 7 (� <br /> Phone: �3��) 35�--- '7Z�3 email: T�Q�. SL��-� @,1 �v,'�.��a'��_ <br /> ���,, �-o r� <br /> Cantact: <br /> Name: �L�--� �Nl�'1�-1 -- �`���Nll�r1 �'c'�G�IT���S <br /> Address: l '71 t� 1t�CS� 1J�R'�z1 t�1�� �_��}N 'D���1� <br /> Clty/State/Zip, ����1, �Nl� �t SZ�� <br /> Phone�,�ZS�z�� -3��v1 emall: K�w-�s @ v�x�kn��. W� <br /> Aspha[t Paving (Sq. Ft.): � � Z °L� S�?��: <br /> Total of Public Impravements; $ �' 1 � g �� <br /> To�al oP Private Improvements: $ � � � 5D <br /> For Offlce Use Onlv <br /> Permit Fee: <br /> As�hait Paving: $ � �� <br /> Plan R�view Fee: � �'� � � � _ <br /> Inspection Fee: $ D �^ <br /> Performance Guarantee; $ _�_ <br /> (1.2 X cosk of Pub1Ec Improvements) <br /> Total: � Z/ ���• �� <br /> COST EST FEE CALC-2014 I <br /> 1� �=�' <br /> :..��� <br />