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�. <br /> • • , <br /> Fees to be Char ed ��S NO <br /> ,� �.._ _ _ ., _. . . ." , ,. ., <br /> , <br /> �. . �_� ; . � . 1 <br /> . . ._,� _ „�. <� :.,... a ,»..,-�:x M, .,•�+ �� � <br /> ,� _ . .. �� -s._.. _ .. . _ ._-..._ <br /> Ptan Review � <br /> __ �. _ : ._.. .. ..,, •� , , .< .: � , ... _. ._ _ . <br /> , � u , ,N , r <br /> - _ . . .., ,. .. _ _ <br /> lnvestigation Fee <br /> -• ... _. �s .. ;,r, <br /> , , , <br /> �� . �.�,,. :: . �F � _ x., . . . ., <br /> Sewer�onnection <br /> Park fee - <br /> Other(specify) . _ <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 /> Es�irnated Construction Value:' $ S, S�U'" <br /> . . � � .. � .. r � . <br /> Drono inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site � Plumbing � Grading/Filling � Wel( <br /> �� ardcover F�emovai � Mechanical 0 Fire � Electrical <br /> ooting � Septic � Water Connection <br /> � Poured V11a11 � Fireplace � 5evuer Connection <br /> � Foundation Survey � :Masonry �'Lawn irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> 0 Framing G Other(specify) <br /> L7 Insulation ., <br /> � As-Built Survey <br /> �`Final <br /> � Other(specify) <br /> REMARKS (in-house): - <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES 0 Nl� New: � YES � NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY`PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.doac <br />