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["CITY OF CARSON"]
["Development Services Group - Engineering Division"]
["ON-SITE IMPROVEMENTS"]
["INSPECTION FEE ESTIMATE"]
[]
[]
["Site Address",{"$nulls":4},"Tract/Parcel/CUP/DOR"]
[]
["Contact Person ",{"$nulls":3},"Phone",null,"Fax"]
["(Owner/Engineer/Contractor)"]
[]
["#","WORK","QTY",null,"DURATION (days)","INSPECTION HRS","NOTE:"]
[null,"TYPE","(Applicant to provide)",null,"(Applicant to provide)","(City Inspector's Estimate)"]
[1,"SUB BASE",null,"CY",null,null,"Inspection hours to be estimated by Public Works inspector after duration of work has been provided by Applicant"]
[2,"BASE",null,"TON"]
[3,"TRENCH BACKFILL",null,"CY"]
[4,"COLD MILL",null,"SF"]
[5,"AC BERM/CURB",null,"LF",null,null,"* Should actual inspection hours exceed the total estimated inspection hours shown above, the Applicant will be invoiced by the City.  Permit will not be finaled until invoice is paid"]
[6,"PCC CURB/GUTTERS",null,"LF"]
[7,"PCC GUTTERS",null,"LF"]
[8,"ASPHALT PAVEMENT",null,"TON"]
[9,"CONCRETE PAVEMENT",null,"CY"]
["*TOTAL",{"$nulls":4},"0 @$75/hr",0]
["Permit Issuance Fee",{"$nulls":5},{"v":55,"d":"$55.00"}]
["TOTAL PERMIT FEE",{"$nulls":5},""]
[]
[]
[]
[null,null,"Applicant's Signature"]
[]
["COMMENTS: (if necessary)"]