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' � <br /> Fees to be Char ed YES NO <br /> :�eran�t��' r �� �f � -�� -� - <br /> Plan Review � <br /> �;'Stat�'�vrcha�,ge x , �- - <br /> Investigation Fee � 4 <br /> ��"�y,/� ��y, . /� y <br /> ]'{'/��w�a���Y��������a\�� i 'f' �`Y � ..� 1 ..["v�.l f':�:llh i ��.4':�i <br /> xr• .,. n , .. ...«. �... ...:... . _ -.. ..,. n '. ?� r. . .. i.., r. �.. .: <br /> Sewer Connection <br /> �`!!la#e���e���oc� . � � ;� � .s � ;,t <br /> Au.. r�i"'�1,. �'�'"I�. �a. r��- 'x' SA.. ��. .i'�Yc.- <br /> Park Fee <br /> =���"�1�Sp��."�IDII��°"dt��? ° ���,, � ,:,� ���,�i �'wr�,"�. �'�*; �t 'f�� �,h" <br /> �_ ., .� . , ., ._ r ,.. .. ,,.,. <br /> . . ... _ _ : . . .. <br /> Other(specify) <br /> �'u„"�Y;$ ' "d7�'6Ai9�5F��e'�S`4`�+�'.k. , . w r}5�� .5��;{ � x. x�' � ,�r . � �;: Y � , <br /> ��H.�r_.+- .�w .,:�'M s.*4e,..,,:�k�'`4.�`F _.:�.,'Y:;'�Y'�a'7�F. :IL'L.J� �',� 3','T^"�l..,�.::r� at'��.t��r•..f^., -h� r Tim��.r��-.-'�. <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: � I 3 Sd,n�O �� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site � Plumbing 0 Grading/Filling � WeII <br /> � Hardcover Removat ,� Mechanical 0 Fire f� Electrical <br /> 0 Footing 0 Septic 0 Water Connection <br /> � Poured Wall � Fireplace � Sewer Connection <br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> ,� 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: � YES 0 NO New: ❑ 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.docx <br />