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Fees to be Char ed YES NO <br /> �Per,mit> �, ,., <br /> Plan Review <br /> ;Sta�e"�urcfiaTge : �/ " <br /> Investigation Fee <br /> :��-=;�Mumber:of�SAC=linits - _ <br /> __ _ __ _ <br /> Sewer Connection <br /> �fa#er�Gor��ei�tion = <br /> _ � _ _ <br /> Park Fee <br /> -,Site.��#nspectiDn : <br /> Other(specify) <br /> 'M iscellan?eous;Fxees. <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: $ 1 2- , Q�0 "� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site 0 Plumbing � Grading/ Filling 0 Well <br /> 0 Hardcover Removal � Mechanical � Fire �Electrical <br /> � Footing 0 Septic 0 Water Connection <br /> 0 Poured Wall � Fireplace � Sewer Connection <br /> 0 Foundation Survey � Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed 0 Mfg. <br /> �Framing 0 Other(specify) <br /> �nsulation <br /> �s-Built Survey <br /> Final <br /> O Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: � YES � NO <br /> REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> _3� �J� s ;2oo,u lv u'�- fi� 1�� v.se c� (c�r- I� CI�.`f�"o�tJ /�- � <br /> .Sf e�' ���nf� � �1 � �' � '�`.S � <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />