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, . . � <br /> su�nnvG �v�tiv c�c�LzsT� . <br /> vsc: 2 -:� ' corrsz�vcTTorr�E: �c� <br /> Sq Footaoe $Pec Sq Ftg <br /> ' Basement • . ,. X = � . <br /> lst Floor � x • — � • � � � , <br /> 2nd Floor x = � � � • <br /> Garage x =: • <br /> z — <br /> TOTAL <br /> Estunated Constructiou Yalue: $ S(,�pQ-j o� <br /> Inspections Required: �Yark Requiring Separate Permits: <br /> 5 ite Plumbing Fire <br /> � Hardcover Removal Mechaaical Water Connectio❑ <br /> _�Footing � Septic 5ewer Connectio❑ �• <br /> � _�.Fr��a � � Fireplace Lawn Irrigation <br /> Insutatiou {l�asonry) Other <br /> �Vall Boazd (Mfg.) Well (State Pecm.it) <br /> _�F�� Grading/Filiino Electrical (State Permic) <br /> Other <br /> REMARKS(IN HOUSE): . � � � . <br /> REVIE�V BY OTHERS: DATE; <br /> Access: Ezisting New • <br /> Access Approval: Date gy; � <br /> REI�IARKS (TO EE NOTED O�I PERil�Il'I�: <br /> ` <br />