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ENGINEER ING/PUBLICSERVICESDEPAR7MEN T <br />E{� ETT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />April 2016 <br />Date: 6 -2 l- 16 <br />Public Works Permit No.: --013 <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip: <br />OERTLti CAP i-MY PARfNE25 <br />C92EG 6ERMH <br />82o► 164�'--` AvcrJuE N.E. 5ui-rF Zou <br />) E60Ho o Wh g605-2 <br />Phone: email: <br />Contact: <br />Name: COSTA PHI L I PPI 06S <br />Address: [ 07- (5 AJF-„IJc Soji-14 <br />City/State/Zip: Kew-r, W A q 8o 3 2 <br />Phone: 4Z5- Z,SI- 62Z z email: Gostape barahti�sert . Golh <br />Net Cut/Fill (Cubic Yards): <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements <br />For Office Use Only <br />Permit Fee: <br />Grading/Fill/Excavation: <br />Asphalt ,Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />S o7 5 &). to. i i LL <br />2S6 SQ, f::-,­. <br />$ 1 30 L oq o.00 <br />$ 305 <br />$ 1)0q I <br />$ 13481,. 36 <br />$ y 6, 96a,TZ <br />Performance Guarantee: $ <br />(1.2 X cost of Public Improvements) q <br />Total: $ <br />COST EST FEE CALC - 2016 / �� <br />