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REMARKS (in�house): <br /> Fe�s to be Char ed YES �10 <br /> Perrnit <br /> Plan Revi�w <br /> State Surch�r�e <br /> Investigatior� Fee <br /> �AC—�6uenber of SA� Ur�its <br /> Other(specify� <br /> S uare Foota e $ per S uare Foata e <br /> Basement X = $ <br /> 15i F�oor X = $ <br /> 2nd FloOr X = $ <br /> Garage X = $ <br /> Estimatec� Cor�struction Value: $ <br /> Orano Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing 0 Grading/ Filling � Well <br /> � ilt Fence/ Erosion Control 0 Nfechanical � Fire ❑ Electrical <br /> rdcover Removal 0 Septic 0 Water Connection <br /> 0 Footing ❑ Fireplace � Sewer Connection <br /> ❑ Foured Wall � Masonry 0 Lawn Irrigation <br /> ❑ �ound�tion Survey Q Mfg. 0 Landscaping <br /> ❑ Foundation Waterproofing ❑ Other(specify) <br /> � Radon Rock Bed <br /> � Framing <br /> 0 �ulation <br /> s-Built �urvey <br /> Ci Final <br /> C1 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: Cl YES ❑ NO New: 0 YES � NO <br /> O FICi L ftEM RKS -TO BE NOTED O(V QER IT/AND INITfALLED <br /> ' � ��e��1 ��� ������ ��� ti ���� � <br /> , <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />