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Fees to be Char•ed YES NO '
<br /> 0 4y�T'•: v S W ' T, Ni D t£--"!v... r-`--ate iA _"T"' .; e ' _... c Ftr@ r+F,� �{ 7
<br /> e.%..v�"b vswr , t �.:1z� L .'t^A.,� �'� � 'ke�`T"5.�`�y'hu`. ,' � u-'�+',��3g1���.,a�l
<br /> Plan Review IIIIMIIII
<br /> ; . , dYc\''4 t` x';77 >? ; ` -;ia V^Z,4 i a a..' :;•t� c-'k>T��ti'P,.P N"si °rte t F 4.,r....wj
<br /> yy I 4 Yl
<br /> m.t ��:1..1 U '4�v�'�' ��F YS �.. tt�...�y�..yiiY�rlY),y,
<br /> InvestigationgyFee IMII
<br /> ?4141 .�.. 1 '.' F � _ ,
<br /> � ''�r �.�. 3.. U.,1 � 0 i Liir, '� � '' ,r77--,7. =t r
<br /> Sewer Connection PA-10
<br /> s r' -w' ''' mm ��7� 1.7 4r - ,e ,,,.,'w77.777. —' 9„ „e. "gym'-"P�' ---'�-
<br /> ' iz F' o 3!11,41,4 .,�."t ..,,,._aKy...` ,. :a .s h, , `r F-4,.I�._ ..F I ra €; �,s 'k a .I
<br /> Park Fee
<br /> ,. .. ..._. I T..•° �,'"'� "7yn
<br /> ,sem. ,c iD a ,i 7 '� ,a;o-� .,(,‘,..,2:;v , r r 1, a 4,;. 'talo
<br /> .c.�uwF� ..� v M 5 n�;. ,.of ""...`-:� �' X3`9.,'�v:-;
<br /> Other(specify) MM..
<br /> ,771 ,r l 5-;:i _L'1I t W�h 1 C°Y� a� -�� 17+ 1 f fr,*ti a r'
<br /> �:.,F7 �..,w y�.;6 ..�,�, � sys, v2n j�t+,s
<br /> Calculated By:
<br /> Square Footage $ per Square Footage
<br /> Basement X = $
<br /> 1st Floor X = $
<br /> 2"d Floor X = $
<br /> Garage X = $
<br /> Estimated Construction Value: $ S 1 et 01000 -- i,000, o o b 44- (-"'T6+ Fov,v44170.--i =
<br /> 1,1go,aoo -
<br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits
<br /> O Site Plumbing 0 Grading /Filling 0 pen
<br /> O Hardcover Removal Mechanical 'FireJS(7R ww-cLa Electrical
<br /> Footing 0 Septic Water Connection
<br /> O Poured Wall ,Fireplace ,ErSewer Connection
<br /> 4)3"Foundation Survey (Masonry ,H' Lawn Irrigation
<br /> O Radon Rock Bed 0 Mfg.
<br /> O Framing 0 Other(specify)
<br /> 0 I sulation
<br /> As-Built Survey
<br /> O 'nal
<br /> O Other(specify)
<br /> REMARKS (in-house):
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing/YES 0 NO New: 0 YES NO
<br /> REMARKS (To BE NOTED ON PERMIT AND INITIALLED BY PERS PULLING PERMIT)
<br /> CEng' Je -t- tti kcal PDP 7 d -vie - tel -77-771
<br /> Updated: 09/11/2009
<br /> z:\forms\plan review checklist.docx
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