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Fees to be Charged YES NO �,. <br /> Permit, ; .,: �/ � <br /> � � <br /> ,o State Seurlchacge , : ,,� _ .. <br /> � Investigation Fee <br /> O �SAC ?Nurriber of°SAC:Uni#s . <br /> Sewer Connection <br /> 1Nater=Connecxion ` <br /> Park Fee <br /> `STte�lnspection� ,, <br /> Other (specify) <br /> ��°,Misce'I:Ianeous;Fees _ _,.: ! .:. :: .. . '� �' ., ,"' :,� ` ' <br /> _ „k;' <br /> Calculated By: <br /> Square Footage I, $ per S uare Foota e <br /> Basement X = $ <br /> 1 St Floor X I = $ � <br /> 2nd Floor X = � <br /> Garage X = � <br /> Estimated Construction Value: � I� 599�bbO °� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site ,�Plumbing ❑ Grading / Filling ,O�Well <br /> ❑ Hardcover Removal E(Mechanical ❑ Fire �' Electrical <br /> ,�Footing ,�Septic ❑ Water Connection <br /> � Poured Wall �I' Fireplace ❑ Sewer Connection ' <br /> Foundation Survey � Masonry �Lawn Irrigation <br /> Radon Rock Bed �Mfg. <br /> �Framing ❑ Other(specify) <br /> �Insulation <br /> As-Built Survey <br /> inal <br /> ❑ Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMfT) <br /> v vV��t s V/2.V EIJ'3Y1,4 � Y1�oN v �C <br /> P /l.l o � 'T� 1��6(o�N�, d i^�S S '� /?/t-�^r Jry.k,.,7.5 <br /> Updated: Q9/11/2009 <br /> z:\forms\plan review checklist.docx <br />