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Fees to be Char ed YES NO <br /> :�e�mit., <br /> _ <br /> Plan Review <br /> St��wichat�e; <br /> Investigation Fee <br /> `S�A�x��+1�mLaer:aof��#. 'i�+a3#s. . � ' <br /> �> t <br /> Sewer Connection <br /> • �1���°b(,�i�#�?C�ior� �,.` � ,, � �.$:; <br /> Park �ee <br /> � �������' , -- �:, <br /> .� -x.'t-: <br /> Other(specify) � <br /> �1$.C���B�#BDU�,��!@S {�;_ _ <br /> Calculated By. . , <br /> S uare Foota e $ er S uare foota e <br /> Basement 'X = � <br /> 1�'Floor X = $ <br /> 2nd Floo� ' X = $ <br /> Garage X = � <br /> Estirnated Construction Value: � i 5„� C�Qc� �'� <br /> Orbno In.spections�tequired Wprk Req�iring Separate Pennits Required 3ta#e Permits <br /> i'] Site G Plumbing q Grading/Filling � .V1IeU <br /> � Hardcover Removal O Mecha;nical G Fire 0 Electrical <br /> Footing, G Septic,' � Water Gonnection <br /> G Poured W�II � Firepl�ce G Sewer Connection ,, <br /> 0 Fou�datian Survey , � Ma�onry G Lawn irrigation <br /> -G Radan'Rock Bed � Mfg. <br /> Framing G .Other(specifiy) <br /> � Insu}ation " <br /> �,�/ s-13t�i1�-Survey. i <br /> � � T � , <br /> , ' � Fat��l� � : � <br /> :Ci Q#her(specifY) <br /> REMARKS{in-house):. <br /> , <br /> � . , <br /> `Other Review: Re�ri�wed by: Date Approved: <br /> Access:Existing: O YES C NO New: D YES G NO _ <br /> �REMARKS��O BE NOTED ON PERMIT ANfl"'IN171.LLEDBY PERSON PU LING PERMIt) <br /> � �� � r� � i <br /> h `1 � <br /> r�.l��e�� � <br /> Updated: 09/11/2009 <br /> ` z:�formslplan review checklist.doec � <br />