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� . . <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review � <br /> State Surcharge <br /> Investigation Fee ! <br /> SAC— Number of SAC Units � <br /> Sewer Connection <br /> Water Connection <br /> a <br /> Park Fee � <br /> Site Inspection f <br /> Other (specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ per Square Foota e <br /> Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd FIOOr X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 3,doo °=' <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site � Plumbing � Grading / Filling 0 Well <br /> ❑ Hardcover Removal 0 Mechanical � Fire 0 Electrical <br /> Footing 0 Septic � Water Connection <br /> � Poured Wall 0 Fireplace � Sewer Connection <br /> � Foundation Survey � Masonry � Lawn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> Framing � Other(specify) <br /> � Insulation <br /> 0 As-Built Survey ' <br /> Final <br /> � Other(specify) <br /> REMARKS (rn-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES � NO New: 0 YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\ptan review checklist.docx <br />