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��.,_, ._ . _.. _ < ,. , . ... . : . ._a- . - . , . _. . <br /> � YES NO J <br /> Fees to be Charged <br /> � Permit ,.. -'' <br /> �' <br /> Plan Review <br /> �, State Surcharge � <br /> Investigation Fee �--�`'" <br /> � SAC—Number of SAC Units <br /> �>;. Sewer Connection <br /> �: Water�onnection E <br /> Park Fee <br /> Site inspection <br /> Other(specif�r) <br /> ,. Miscellaneous Fees 1 <br /> Calculatecl B�: <br /> � <br /> �� Square Foota e $ er Sc�uare Foota e <br /> �, Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd Floo� X = � <br /> Garage X = $ <br /> � <br /> Estimated Construction Value: $ �'�-`l, ��F�.��' a� <br /> ' Orono lnspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site I�' Plumbing 0 Grading / Filling p°�1Nell <br /> 0 H rdcover Removal �Mechanical � Fire �d Electrical <br /> Footing ,� Septic � Water Connection <br /> Poured Wall ,�Fireplace 0 Sewer Connection <br /> �Foundation Survey � Masonry p`Lawn Irrigation <br /> �Radon Rock Bed �' Mfg. <br /> Framing ❑ Other(specify) <br /> Insulation <br /> �'� �As-Buiit�ur�ey <br /> ����� ,�`Final <br /> `��� Other (specify) <br /> REMARKS (in-house): � <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: C3 YES � NO <br /> EMfARKS (TO BE NOTEQ Of� PERMET/�,ND INITIALLED BY PERSON PULLING PERMIT)_ _ <br /> �,: �� �D �� —f�� � � �t.� �fi�fl0�'G� � � ViO�� �� ' <br /> �� � � �'�✓��7 � � � �1� G�S�t/�i �C� d!'1� � �� <br /> � , � � <br /> S � �5���� � �1� CD <br /> Updated: 09/11/2009 <br /> z:lforms\plan review checklist.docx <br /> ��i�"�..�k r a. . .,�'°-a. '.:< -s,: -+y�,. .}� ,ca, t �';v 4 x d b�n m�*:���3 a '��$:. '� `�:��'�' ��°' � <br /> �`�.;�..'a..:t`. .�.a'J_...� ..._ . , . . ., _. , . .,.�' .,.e ...�.. .�s .... �....V �s_. ..a,n ...ve.,, ,.,� ��....,,n. _. .., ,-. .,� . s4 .,:,�, ,.�...,�'aa.,w�.,tiiS,frS�r�_ _.e»�..� <br />