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�2�WI�,RKS(in-house): <br /> Fe�s to be Char � �� �� <br /> Pl�tt Revievv <br /> �e S�a+cha�g� � <br /> inv�tigation Fee � <br /> SAG—Nw�er:v#SAC 4,l�i� ; - <br /> Other(specffy) <br /> 5 uare Foota e S r S uare Foo e <br /> . Basement X � <br /> 1°'Fioor X = $ <br /> 2'�Floor X = $ <br /> Gar�ge X = $ <br /> ��� <br /> Estim�tecf Construction Va�e��: ���-�e — <br /> �rono Inspections i�equirsd 1l11ork Requiri�g Separate Penriits I�equicecf State Permits <br /> � Site ,� Piumbing t� Grading/Filiing �Well <br /> t7 Hardcover Remava l �( M e c h a n i c a l C P F ire � Electricat <br /> ,0'Footing C Septic �Water Connection <br /> �ei Poured Wall j�'Fireplace �! Sewer Conneation <br /> :�3' Foundation Sunrey � � Lawn lrrigation <br /> ,� Radon Rock Bed �Mfg. <br /> �'Fcaming C Other(specify) <br /> �' lnsulation <br /> � As-Built Survey <br /> ,I� Finat <br /> G Wetland Buffer <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Revievir: Revieweci by: Dat�Approved: <br /> Rccess: Existing: � YES � NO NeW� � ��� � N� <br /> OFFiC1AL REAAARKS -TO BE�E3`TED O{�F�HP�A�I�'AND INtTtAL�ED � <br /> �'��� � � • <br /> � � � 2..- "� d �""t'6��- � <br /> � <br /> 0 <br /> Updated: January 2013 <br /> v�\formslplan review checklist 2013.docx <br />