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'c P�� Ff��S� ��S �lf�� �� � � �es�u�` � � `�������/��` ; <br /> �� � - �t'�t�,er�`�$��,t�s T� �.e�� e�- 'P�� ����5 <br /> REMARKS (in-house): �� �������`°t� �' �� ��`�r � ����� �� �f�� �� `�- <br /> Y` '� CA�IY�+�.tlb s�Za .�� o�- �Q`� �'1/�f�t�.�� Gtl/�� �v,� �Gl��.iP .3 5��6�� t�.� '� �� <br /> P�� �K��� �� �����'�m�' �� e4 v�C �� � e�� �i� ��d�� <br /> Fees to be Char ed YES NO �� ���`� <br /> �r� ��/� <br /> Perrnif f�-5fl f��c�r.e'i' ���' <br /> ` I�lan Revievv � �����, ` <br /> State S�rcharge �' <br /> tnvestigation Fee . <br /> SAC�Nurnber�f SAC lJnif� <br /> Otr►er(specefY) �?Q-�,S�l " � � ��'�:o ' <br /> Square Foota e $per S uare Foota e ;; <br /> A <br /> Basement X = $ ' <br /> ,�st F�OOf X = $ ' <br /> li <br /> 2nd FIoOf X = � <br /> s, <br /> Garage X = $ � <br /> � <br /> Estimated Construction Vafue: $ ��������� � <br /> Qrono Inspections Required WQrk Requiring Separate Permits Required State Permits <br /> 0 Site ,,,�Plumbing 0 Grading / Filling Well <br /> 0 Nardcover Removal Mechanical Q Fire Electrical � <br /> ,�Footing 0 Septic � Water Connection <br /> �'Poured Wall Fireplace �Sewer Connection <br /> �''Foundation Survey � Masonry �Lawn Irrigation <br /> �Radon Rack Beci p`�Mfg. <br /> �Framing 0 Other(specify) <br /> �lnsulation <br /> ,,�As-Built Survey , <br /> �Final � <br /> 0 Wetland Buffer � <br /> 0 Other(specify) <br /> REMARKS (in-house): � � l�f� ���� � ���//�1� fftl � <br /> �1� ���`���1 �t1C�� �l�� rz���c.��7 <br /> Other Review: Rev�ewed by: Date Approved: <br /> Access: Existing: � YES � NO New: 0 YES 0 NO <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> Updated: January 2013 <br /> v:\formslplan review checklist 2013.docx <br />