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Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAG-,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: $ V.5-71- 0 D <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site ❑ Plumbing ❑ Grading / Filling 0 Well <br /> O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical <br /> Footing 0 Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace • <br /> ❑ Sewer Connection <br /> O Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> O Radon Rock Bed El Mfg. <br /> Framing ❑ Other(specify) <br /> ❑ Insulation <br /> ❑ As-Built Survey <br /> Final <br /> O Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ YES 0 NO <br /> ,REMARKS (TO BE`NOTED ON PERpMIIT AND INITIALLED�BYpPERSON PULLING PE�RnMIT) \i'. <br /> tU No r- Bu 1 <br /> r ti ievt s3 <br /> ct <br /> ko Xity -eiftcic. all-ad sQ h c1 a5-latitt. <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />