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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge � <br /> Investigation Fee <br /> SAC—Number of SAC Units � <br /> Sewer�onnection <br /> Water Connection � <br /> Park Fee <br /> Site Inspection � <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ "�� '���`° `�" �" <br /> �rono lnspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing O Grading / Filling ❑ Well <br /> 0 rdcover Removal �Mechanical � Fire �Electrical <br /> Footing � Sepfiic � Water Connection <br /> � Poured Wall ❑ Fireplace � Sewer Connection <br /> � Foundation Survey � Nlasonry ❑ Lawn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> � Framing � Other(specify) <br /> 0 Insulation <br /> 0 As-Built Survey <br /> inal <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES ❑ NO New: ❑ YES � NO <br /> REMARf6S TO BE NOTED O PERMIT AND INlTIALL D B P SON P LLI G PE IT <br /> x � ' ' <br /> �� !{0 5� �� e u c �C e✓�aJ 6c.. 2 � S✓�..e.. t,�t S �L� ..,�.. <br /> 'ft� ( <br /> t���i • <br /> ' ��t �-�- � ���IP�/v� ��`r/ � � �U <br /> U ted: 09/11/2009 C� -� � <br /> z:\forms\plan review checklist.docx (����a l�s� ��°1���� <br /> V� v 3 �/ ✓� �94. ��ei�. <br />