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Fees to be Charged YES NO <br /> Permit <br /> Plan Review t/ <br /> State Surcharge <br /> Investigation Fee <br /> SAC-Number of SAC Units <br /> Sewer Connection <br /> Water':Connection <br /> Park Fee <br /> Site.Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ i Sipco "- <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> O Site ArPlumbing D Grading / Filling 0 Well <br /> O Hardcover Removal D Mechanical D Fire ,Er Electrical <br /> O Footing 0 Septic D Water Connection <br /> 0 Poured Wall 0 Fireplace 0 Sewer Connection <br /> O Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> O Radon Rock Bed 0 Mfg. <br /> .Framing 0 Other(specify) <br /> AEI-Insulation <br /> O As-Built Survey <br /> Final <br /> O 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 /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />