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t <br /> p Fees to be Charged YES > NO <br /> i. � ",y�,''3 91 ,�.3 u1 n 4wi J w <br /> d <br /> - :�. 4.r.�kxoah�. I ��4'�? i I�1».�r, r��F- i F �.r - '�' .3?` ,n1 �_F;3 �6uµk0 <br /> Plan Review ,/' <br /> State lr+ 6 40M a3 ,v`' i' i � ' a '; ,@skt{ la <br /> Investigation Fee <br /> t G€ u1�ry4 <br /> SAC 010470 $A Altslk*W IAM4 M41 0 0 <br /> ,WS/ewer Connection W t f...... 0' iAi P A. " _ £ i ,...,.:ry.. 1 . j k".f to t+ k" <br /> A� i <br /> Park Fee <br /> Situof . + iSgg )' �� + �' w' M` ':'::,401M, <br /> ��'��;, '�:,,N'.17,'�'si�` "_"`. ,,s' ;;...t*LW' »'��. �4' .°'_...,tet'°.� <br /> Other(specify) <br /> .MIsM <br /> .wn �� :4m"x 4 ,4 Z' 40 <br /> V1121 <br /> 01 <br /> 4. A .�. My <br /> Calculated By: <br /> Square Footage ' $ per Square Footage <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = I $ <br /> Estimated Construction Value: $ l/ 2-0 0 °*2 <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 /> ,e12'Footing 0 Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace 0 Sewer Connection <br /> O Foundation Survey ❑ Masonry ❑ Lawn Irrigation <br /> O Radon Rock Bed 0 Mfg. <br /> ❑ Framing 0 Other(specify) <br /> O Insulation <br /> s-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: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />