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Fees to be Char ed YES NO <br /> Permit_� .�. <br /> _ . . „ -_ <br /> Plan Review <br /> �State;_Surcha�e � •� <br /> ... , . <br /> .F;, <br /> Investigation Fee <br /> °SAC,, �Number-of�AC,,l�nits ; : _, - i <br /> L � <br /> r. ... . . . , . .. . .. -_� . ... ... .. . i.-. <br /> Sewer Connection <br /> ��Ililater�Cto�n�ect�on :°;� . '�j s<; 2 . 4;� <br /> .,_._ . ._ ... _. . . , <br /> . �_ _ ;_, _, . <br /> Park Fee <br /> :�ite�nspsctron�- '� - ���T�r � ;,: <br /> __ _. ,_ ,.,. .� _ -.:. . ._ .. <br /> Other(specify) <br /> -Miscellansous�Fees ' ,�; <br /> : . , _, .. _ _ . .. , � : ,.. . <br /> Calculated By: <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1�Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ Z.S� � <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> O Site � Plumbing 0 Grading/Filling � Well <br /> � Hardcover Removal 0 Mechanical � Fire 0 Electrical <br /> 0 Footing 0 Septic 0 Water Connection <br /> 0 Poured Wall 0 Fireplace 0 Sewer Connection <br /> � Foundation Survey � Masonry � Lawn Irrigation <br /> O Radon Rock Bed 0 Mfg. <br /> 0 Framing 0 Other(specify) <br /> � Insulation <br /> � As-Built Survey <br /> � Final <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES � NO New: � YES � NO <br /> EMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) - <br /> — �l � vtr� c a va�tc� c (,e � vt� �c�� � <br /> S` [S (, ���C -- � r �Glsl�.t��t�y�i I�t..�l_ <br /> t�� 1 ��( y'�o-✓� U� Lc cS�-� o �l/l u-4 <br /> �� ��s�,�c�e� ��-e �v� 2� <br /> Updated: 09/11/2009 <br /> z:�forms�plan review checklist.docx <br />