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fees fio be Cha eci YES NO <br /> Per�n# ; . � F <br /> Plan R�view <br /> .5#�tte Surcharge , : <br /> lnvestigation Fee <br /> , <br /> S�AcC—N��bec�°SA�U�its Y <br /> Sewer Connection `: <br /> `�l1lai�r�o�ec:Wz�n . , . ;`; <br /> ` Park Fee <br /> ,. � <br /> �SS�te insps�i�t <br /> Other(sp�ecify) <br /> Allisceilaneous fees � - ' <br /> Calcuiated By. <br /> S uare Foota e $ er S` uare Foota e ` <br /> 8asement X . _ $ <br /> 1�Floor X = $ <br /> 2'�:Ftoor X = $ _ <br /> Garage , X = $ <br /> �:`Estimated Construction Value: $ <br /> ,, , <br /> Orano 1nSpections;Required � Work Requiring Separate Permits � R: uired S�ate Permits <br /> . � <br /> � <br /> fl Si#e Cl Plumbing CI Grading/Filling _ CI V1F+�11 <br /> t3 Hardcover Removal 0 Mechanical C� Fire G El�ctrical <br /> ,�' �ooting G Septic C! Water C4nnection � <br /> 0 Po�red Wall � Fireplace � Sewer Connection ` <br /> � Foundation Survey G Masonry `=D Lav�rn tr��gation k <br /> G Radon Rock Bed. Q Mfg. `' <br /> � Framing O Ofher(speci#y) <br /> Ci lnsulation `� <br /> � As-Buitt Survey , ,„,. <br /> :: inal , �.: <br /> `� Other(specifY) � <br /> ; <br /> `REMARKS (in-house): -° �. <br /> � ;: <br /> Other iteview: Rev�ewed by: Dafe Approved: }. <br /> Acc�ss:Exis#ing: 0 YES D NO : New: D YES � NO ' <br /> R�MARKS tT0 B�NOTED ON PERMIT AND i�llTlALLED BY P�RSON PULLIN�PERMIT)�:' <br /> �;�,�,�,� - �- 5h�n : �.si.� - � I'It- rvc —:: <br /> � <br /> �s.-- � �-� . � ' <br /> Uodated: 09/11/2009 <br />