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Fees to be Charged YES NO <br /> Permit f • <br /> Plan Review <br /> State Surcharge t/ <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 I $ per Square Footage <br /> Basement X = $ <br /> 1s` Floor X = $ <br /> 2na Floor X = $ <br /> Garage X = $ <br /> I <br /> Estimated Construction Value: $ /SO/000 C— <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits • <br /> ❑ Site ❑ Plumbing 0 Grading / Filling 0 Well <br /> O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical <br /> )2'Footing 0 Septic 0 Water Connection <br /> O Foundation Survey 0 Fireplace 0 Sewer Connection <br /> ,i Framing 0 Masonry 0 Lawn Irrigation <br /> .0 Insulation 0 Mfg. • <br /> O Wall Board 0 Other(specify) <br /> ❑ As-Built Survey <br /> pr 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:\forms\plan review checklist.docx <br />