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Fees to be Charged YES NO <br /> Permit` ' <br /> Plan Review • <br /> 'State7.Surcbarge / <br /> Investigation Fee <br /> SAC Nuniber.ofSAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> .:Site Inspection :,a . ... <br /> Other(specify) <br /> Miscelaneo�vs'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: $ 2-0,0 o O °a <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site ❑ Plumbing 0 Grading / Filling ❑ Nell <br /> O Hardcover Removal 0 Mechanical ❑ Fire %Electrical <br /> O Footing 0 Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace 0 Sewer Connection <br /> ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> Radon Rock Bed 0 Mfg. <br /> Framing 0 Other(specify) <br /> ❑ Insulation <br /> ❑ As-Built Survey <br /> prFinal <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 ❑ 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 />