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Fees to be Charged YES NO <br /> Permit e a K yea y <br /> Plan Review c/ <br /> 4Stateurr4re4 i '- , 4 a,. u.. -u <br /> Investigation Fee <br /> "S�1,C .�Nrl.*ber'of'•SACVn'tk#* tfKS <br /> Sewer Connection <br /> aterC�olltls �1We.WWNOh are <br /> Park Fee <br /> 10,4***00.1*n 46111MtigtOMOZI 101V Utall <br /> Other(specify) <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: $ I (,000 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site 'Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal )211Mechanical 0 Fire ere 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 /> ,O Framing 0 Other(specify) <br /> insulation <br /> O 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: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />