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Fees to be Charged YES NO <br /> Permit ,l <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1st Floor X = <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ (2),OOO <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> O Site 0 Plumbing 0 Grading / Filling 0 Well <br /> ❑ Hardcover Removal 0 Mechanical 0 Fire JieElectrical <br /> )2' Footing ❑ Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace 0 Sewer Connection <br /> ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> ❑ Radon Rock Bed 0 Mfg. <br /> %Framing 0 Other(specify) <br /> ja Insulation <br /> ❑ As-Built Survey <br /> Or Final <br /> ❑ Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 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\plan review checklist.docx <br />