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Fees to be Charged YES NO <br /> Permit" <br /> Plan Review <br /> Ztate:Surcharge. <br /> Investigation Fee <br /> SAC Number of'SAC Units <br /> Sewer Connection <br /> WWatersCohnection :. <br /> Park Fee <br /> xSite46p.pection <br /> Other(specify) <br /> Miscellaneous,;Fees: <br /> Calculated By: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1 st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> 00 <br /> Estimated Construction Value: $ 34,006— <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site 0 Plumbing 0 Grading/ Filling 0 Well <br /> 0 Hardcover Removal 0 Mechanical 0 Fire 2rElectrical <br /> Footing 0 Septic 0 Water Connection <br /> 0 Poured Wall 0 Fireplace 0 Sewer Connection <br /> 0 Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed 0 Mfg. <br /> .,O–Framing 0 Other(specify) <br /> 0 Insulation <br /> XAs-Built Survey <br /> Final <br /> Other(specify)WCAALU� �Qtr(�ll l�l'1 <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: 0 YES 0 NO <br /> EMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PALING PERMIT) <br /> �r io( re4 ay-- ot wadim mm(4csuw, an as-bu <br /> U10MACd. o a own' WbMikkol. <br /> M vx <br /> Updated: 09/11/2009 <br /> zAforms\plan review checklist.dou <br />