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2011-00052 - addn/remodel/repair
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2011-00052 - addn/remodel/repair
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8/15/2023 7:19:48 AM
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Fees to be Char ed YES N0 <br /> �Pecrr�it � <br /> ,,..,. . .� .. ,_, , <br /> Plan Review � . : <br /> `:S�ate Surc"�argB - <br /> ,_r_. . . , .. ._ � <br /> investigation Fee <br /> ''S�1C`=3N�umtier�o�`SA'C�l�nits ` � _-; <br /> . .�__ __ . . , <br /> Sewer Connection <br /> :�llla���oDn�acti�n ;, ' L- � .� <br /> Park Fee <br /> ;:'�ite��spe�ction 'Y F:� ��t ' , 1 ,�,r .�_.. <br /> ..,. ., ,. . ,�._ <br /> _. _. w . _ <br /> Other(specify) <br /> ';3AhAiisaeila�en'�s fees � > ti ,. ,`: ;�� - <br /> , . <br /> Calculated By: <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 18t Floor X = $ <br /> 2nd FIOo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site Plumbing � Grading/ Filling � Well <br /> � Hardcover Removal echanical � Fire �Electrical <br /> � Footing � Septic 0 Water Connection <br /> 0 Poured Wall � Fireplace � Sewer Connection <br /> 0 Foundation Survey � Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed , � Mfg. <br /> F aming �Other(specify) s((�I�1�(�2— <br /> Insulation <br /> 0 As-Built Survey <br /> Final <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES 0 NO New: 0 YES � NO <br /> REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 _ <br /> z:\forms�plan review checklist.dopc <br />
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