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Fees ta �e Cha.r ed YES �!O <br /> P�rrrai� + <br /> Plan Re�+ee� (� <br /> $ir�t��tttci��rge l/ <br /> tnvestigatioe� Fe� <br /> S1�C-:t��m�er ofi SAC lir�ifs � �'' <br /> Sew�r Connection <br /> ��4l�tar Connectios� <br /> Fark Fee <br /> Si#e,�n�pecfion <br /> Other(specify)' <br /> �tiisceilat��ous��ees <br /> Caicufatec9 By: <br /> S uare Foota e $ er S uare �oota e <br /> 8asement �,��u� X �!�, '�.0 = $ I i� 13� C:� <br /> 1�'Floor i• �i� X. t� 2.3 = $ '�1 �t'`�3.22 <br /> 2"d Floor t ��� X `� � 2,`� _ $ ��� V`T 3."?'- <br /> Gara9e ��c: X �"'.� - $ 1�: �3�,L� <br /> Estimated Construction Value: � �`t�o���•y`'� <br /> Oreno Inspections Reguired flillork Requiring Separate Perrrpits Rec�uirecl State Perrnii�s <br /> 0 Site Plumbing � Grading/Fiiling � Well <br /> C] Hardcover Removal �!Mechanical L7 Fire �Electrical <br /> J�'�'ooting � Septic r .� Water Connec tion <br /> � Po�red Wall ,p'Fireplace �""Sewer Connection <br /> oundation Survey � Masonry �'Lawn Irrigation <br /> Radon Rock Bed �'Mfg. <br /> Framing E] Other(specify) <br /> nsulation <br /> : As-Built Survey <br /> Final <br /> f] Other(specify) <br /> REMARKS (in-house): <br /> Other Review: R�vsewed t��+: Date A�prodetl: <br /> Access:Existing: Li YES C] NO New: P� YES Q NO <br /> REM6ARKS(TO BE NOTED OP! PERfVflT ANd ENE�TtpLLED BY PERSQN RUL�.II�G PERMIT) <br /> Updated: 09/11/2009 <br /> z:\fortnslplan review checklist.docx <br />