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Fees to be Char ed YES t�0 <br /> f�ecr�t��: <br /> F�Eatt l���ievd �/ <br /> S�ate�Suec#�ar�� . <br /> tnvest4ga�ion Fee <br /> S�►C-f��m�er�#SkC l3nits <br /> Sewer Gannectian <br /> �#�r Can�ectian . <br /> Park Fe� <br /> Site 3�s�ec$#o� <br /> Oth�r(s�ecifyj <br /> �K�Iisce�Eaneous�ees <br /> Calc�jated By: <br /> S uare Fo�ta e $ er S usre Foota e <br /> Basement � X = $ <br /> 1�'Floor X = $ <br /> 2nd Floo(' X = $ <br /> Garage X - � <br /> Estima#ed Construction Value: $ �� <br /> Orana inspections R�Quirecf Vl�ork Rec�uirin�Separate Rerrr�its Rec�uired State Permit� <br /> C, Site C! Plumbing G Grading /Filling C� Well <br /> � }lardcover Removat C2 Mechanical � Fire O Electrical <br /> �{Footing Lt Septic [] Water Connection <br /> � Poured Wall � Fireplace Cf Sewer Connection <br /> � Foundation Survey Q Masonry Q Lawn Imgation <br /> � Radon Rock Bed � Mfg. <br /> C] Framing � Other(specify) <br /> 0 Insulation <br /> As-Buitt Survey <br /> �Final <br /> ['� Other(specify) <br /> REMARKS (in-house): <br /> �ther Review: Re�rie�rect Isy: Dat�Approved: <br /> Access:Existing: 0 YES I� I�O New: Q YES C3 NO <br /> REMARKS (TQ BE t�OTED Of� PERhAt'f kND If�t'�f���ED �Y R��O!I�ULLlt�G PERMIT) 'n �� ��I <br /> �) ����a� C����raE ��u�� � � �i rl�c.����.� � es�� Q�l <br /> Updated: 09/11/2009 <br /> z:lforms�plan review checklist.docx <br />