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Fees to be Charged YES NO <br /> Perm it <br /> Plan Review <br /> State`Surcharge <br /> Investigation Fee f <br /> QAC=Number-df"SAC Units T ,y <br /> Sewer Connection <br /> Water-.- onnect�on <br /> Park Fee <br /> Site linspection <br /> Other(specify) <br /> Miscellaneous.Fees <br /> Calculated By: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1s' Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 1--/10, 000 od <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site PlumbingGrading/ Filling Well <br /> Hardcover Removal ,Wmechanical 0 Fire Electrical <br /> rff Footing Septic n <br /> oured Wall irepiace effSewer Connection <br /> Foundation Survey 0 Masonry Lawn Irrigation <br /> Radon Rock Bed 0�Mfg. <br /> Framing 0 Other(specify) <br /> sulation <br /> -Built Survey <br /> Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: 0 YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � d�i�fl Ke� 5Gt>ale Gvc��� �..e �1 hiyn r�LtD �� v�'��h Gc.�► ��!� L1^f�Gf� <br /> We I C,3 Dwe4 <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />