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Fees to be Charged YES NO <br /> Permit <br /> Plan Review ✓ <br /> State-Surcharge ye' <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: $ S,000 0 <br /> 0 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site 0 Plumbing 0 Grading / Filling 0 Well <br /> O Hardcover Removal 0 Mechanical 0 Fire Electrical <br /> O Footing 0 Septic 0 Water Connection <br /> O 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 /> O Insulation <br /> ❑ is-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 />