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Fees to be Char ed YfS NO <br /> ���,�.�. ..,.,a�,� �� .��r <br /> �` Ty"�� � A � -^�� <br /> � .� .s� ,r.`�,� ��,�,�,�,�w n�i��,;. �`� c'�� . <br /> Plan Review <br /> .__ . . �,,,,rti,� <br /> � � ��;�� �,� �..,� <br /> _� �,�- <br /> Investigation Fee <br /> ._ ., , ,; ,,. , _ �. � � <br /> ..�,�,.. _u.,.. , _ ,_. ::,.,� . . .; ...� , . w � : , , . . <br /> _ .. . <br /> Sewer Connection <br /> .._ , <br /> � �� ,�. . ,. . ,. _ <br /> - _ . <br /> Park fee <br /> . . .. . <br /> Other(specify) <br /> _ . ..: - <br /> Calculated By: <br /> S uare Foota e $ er S uace Foota e <br /> Basement X = $ <br /> 1�<Fioor X = $ <br /> 2"d FlOor � X = $ <br /> Gacage X = $ <br /> Estima#ed Construction Value: `$ (�0�'nt00 0� <br /> I�rona lnspections Required Work Requiring Separate Permits Required 5tate Permits <br /> � Site � Plumbing ' � Grading /Filling 0 Well <br /> G Hardcover Removal � Mechanical � Fire Elee�rical <br /> G Footing: '0 Septic � Water Connection <br /> G Poured Wall Q Fireplace � Sewer Connection <br /> G Foundation Survey 0 Masonry G Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> Framing p Other(specify) <br /> � Insulation <br /> 0 �1s`;Built Survey <br /> �Final <br /> � Other(specify) <br /> REMARKS (ir�-house): <br /> Other Reviev�r: Reviewed'by: Date Approved: <br /> Access:Existing: � YES .G NO New: � YES 0 NO <br /> REMARKS`(TO BE'NOTED`ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:�forms�plan review chedc(ist.doac <br />