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• <br /> Fees to be Charged YES NO <br /> Permit .✓ <br /> Plan Review <br /> State Surcharge v' <br /> Investigation Fee <br /> SAC--Number of SAC Units <br /> Sewer Connection <br /> Jlater.a:Con sectio n <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 /> • <br /> Basement X = $ <br /> 1st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 2.S,000 °a' <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site j2Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal Rr Mechanical ❑ Fire ,O�Electrical <br /> O Footing 0 Septic 0 Water Connection <br /> O Foundation Survey 0 Fireplace 0 Sewer Connection <br /> ,0 Framing 0 Masonry 0 Lawn Irrigation <br /> i;'Insulation 0 Mfg. <br /> ❑ Wall Board 0 Other(specify) <br /> ❑,As-Built Survey <br /> 0 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: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />