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J - • � , <br /> Fees to be Char ed �fS �10 , <br /> . _ , . .. . ,. _.._ , �,� __,. <br /> � _ <br /> _ . , <br /> . � .,.t _ .._._ _ �x._, . ; , . . .:,_ � <br /> Plan Review <br /> : .. . . . , . <br /> investigation Fee <br /> 4��+a�&:�w'?'. f.+u:.-n ., �.. <br /> . . . .. .. ...,...z. .. - . .a. ........_ .... .. ..._ . <br /> Sewer'�onnection <br /> Park�.ee <br /> Other(spEcify) : . <br /> Calculatecl;By; <br /> S uare�oota e $ er S uare Foota e <br /> Basement . X _ > � <br /> 1�`Floor X = ; $- <br /> 2nd FIooT ., X : _ � <br /> Garage X , : _ , $ <br /> .,�t - <br /> Estima#ed Constr��tion�lalue: � (�0�0(�� �� <br /> C3rono inspections Required 'l�llork R�quiring:Separate�Permits Required �tate Permits <br /> � .Site - Plumbing D �ra�tling/�illing O 1�Uell <br /> G Hardcower R�moval echanical" Li Fire Electrical <br /> � FoDting ; O Sep#ie 0 �IUater Connection ` <br /> � Poured NVall <Fireplace .� Sewer-Connection <br /> O F.ountlation Survey � Nlasonry � Lawn:lrrigation <br /> � Radon Rock Bed �Nlfg. <br /> �3 Frarning � C�ther(specify) <br /> 0 Ins�lafiion <br /> 1 � �1s-Built Survey . <br /> Final <br /> G O�her(specify) <br /> RE�JI�F�I�S (in-house): ` <br /> C�tt�er�?�vieuv: Reviewed by. Date�lppro�e�f: <br /> Access:Existing: � 4'E� n NO New: � YES � NtJ <br /> REII�IARKS(TO:SE NOTED t)N PEf�M�T Aia1D 1�I1T��iLLED BY PERSDN PllLUNG PERiVII'n <br /> Updated: 09/11/2009 <br /> z:\fiormslplan review chec�klist.doac <br />