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Fees to be Charged YES NO <br /> Permit.h - <br /> -� ,,.x <br /> _ . <br /> Plan Review <br /> �State��rcMarg� _ _ <br /> Investigation Fee <br /> "':574C :�I+I�rrt'b�r of�SA'G l�n°its - 3 <br /> , . . _ . _ <br /> Sewer Connection <br /> ;�;lVa�e�C,on��ction �.� , _ - = � <br /> �.. �� <br /> Park Fee <br /> "�J����I����V��G.� i-:_ F :�1,!` <br /> Other(specify) <br /> "�I�scella�eoWs Fees' � .x z , ,:' ' �' : <br /> , a:, <br /> Calculated By: <br /> S uare Foota e $ er Square Foota e <br /> Basement X = $ <br /> 1 gt Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 35�,!t�o°`—' <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site � Plumbing � Grading/ Filling � Well <br /> 0 ardcover Removal 0 Mechanical � Fire � Electrical <br /> Footing 0 Septic 0 Water Connection <br /> 0 Poured Wall � Fireplace � Sewer Connection <br /> 0 Foundation Survey 0 Masonry � Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> � Framing � Other(specify) <br /> 0 Insulation <br /> 0 As-Built Survey <br /> 0 Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES 0 NO New: � 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 />