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r <br /> Fees to be Char ed . YES NO � <br /> �Permif - � - <br /> _ _,_ .. , . <br /> Plan Review �/ <br /> =State�urc�ar,ge ��'�...; <br /> - - i <br /> Investigation Fee <br /> 'S�C�t��uinberfo#�SAC �n:its - �:�= <br /> Sewer Connection <br /> �IUate�or���ec#iorr � � r,,,� _ <br /> Park Fee <br /> �i5ite�ln�psction , , , - �.; �•�. <br /> _ ,.. . .. _: . ,. . .., <br /> _. _. .,.� ... _,_ <br /> Other(specify) <br /> ,�ISC8�18�I18AUS�-�E�S.;. z,;` t ,.;;' - - �} <br /> �_ . , ...,. . , . . . ,_, . . • - .. <br /> Calculated By: <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ k <br /> 15t Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 11��Ot� °° <br /> � <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site Plumbing 0 Grading/Filling 0 Well <br /> 0 Hardcover Removal �Mechanical � Fire �'Electrical <br /> � Footing � Septic � Water Connection <br /> � Poured Wall �'Fireplace � Sewer Connection � <br /> � Foundation Survey � Masonry O Lawn Irrigation <br /> 0 Radon Rock Bed �Mfg. <br /> �Framing 0 Other(specify) <br /> �Insulation <br /> 0 s-Built Survey <br /> �inal <br /> � Other(specify) <br /> REMARKS (in-house): <br /> I <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES � 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 /> � <br />