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r`_.'-t r �. � <br /> Fees to be Cha ed YES NO <br /> �d.��. �. . ; , . ,. � <br /> �` ��a'� .;,� �� <br /> . . , ... , �� . .. ,_ � :... .. ., .. <br /> Pian Review v- <br /> ... . , . <br /> , � _ � ,_ . ,_� , ..: �. , ,. _ ,. _. . . . <br /> � <br /> _ . . �. ;.: : r � .:.� , .. .,��., _.� <br /> Investigation fee <br /> _ � ,. . �.. <br /> ` ��'.tw�t�.n-�.� ,h' . . .,� .. . <br /> . ... . .,.... . ... . .. ..� ,... .. . ..�.: .., .. . . � <br /> Sewer Connection <br /> ,.. ... y <br /> . ._ �.-,F,..__..�s, _ ��. �� ... <br /> Park fee . . . _ <br /> ,. � , . . _ _. <br /> Other(specify) <br /> ., . <br /> Calculated By; <br /> S uare Foota e $ er S uare Foota e <br /> Basernent X = $ <br /> 1�Floor � _ � <br /> 2nd FloO� - X = � <br /> 'Garage X = $ <br /> Estimated Construction Value; $ 1 �,��� °—" <br /> Oror�o tnspections Required 1Nork Requiring Separate Permits Required State Permits <br /> ' G Site P mbing � Grading/Filling � 1Neil <br /> � Hardcover Removal echanical � Fire Electrical <br /> � Foa�#ing 0 Septic � Water Connection <br /> � Poured Wall �Fireplace � Sewer Connsction <br /> O Foundation Survey � Masonry � Lawn Irrigation <br /> � Radon Rock Bed ,O�Mfg. <br /> �raming � Other(specify) <br /> � lnsulation <br /> 0 s-Built Survey <br /> Final ` <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: �ate Approved: <br /> Access Existing: � YES G NO New: � YES 0 NO <br /> REMARK5'(TD BE NOTED ON PERMIT AND.INITIALLED`BY PERSDN PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review chedclist.docx <br />