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Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State'Surcharge r/ <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 /> UBC: Construction Type: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1st Floor X = $ <br /> 2"tl Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ k <br /> 1000 e4 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire ,2'Electrical <br /> ❑ Footing 0 Septic 0 Water Connection <br /> O Foundation Survey 0 Fireplace 0 Sewer Connection <br /> Framing 0 Masonry 0 Lawn Irrigation <br /> _insulation 0 Mfg. <br /> O Wall Board 0 Other (specify) <br /> O As-Built Survey <br /> ,Final <br /> ❑ 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: 07/01/2009 <br /> z:\forrns\plan review checklist.docx <br />