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Paperwork for 765 b4 combination - old PID
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Paperwork for 765 b4 combination - old PID
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Last modified
8/22/2023 4:45:11 PM
Creation date
10/27/2015 12:03:07 PM
Metadata
Fields
Template:
x Address Old
House Number
765
Street Name
Boulder
Street Type
Drive
Address
765 Boulder Drive
PIN
3311823110134
Supplemental fields
ProcessedPID
Updated
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... ....:....... � .,.._: �.. _m...�.,�: .�._,.... . . . .- ..,.._ ... ,�..�... , ._.; ,_= _. '�'",.�,�"'�'�'-. . <br /> Fees to be Charged YES NO <br /> Permit <br /> Plan Review 1/ <br /> State Surcharge � <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 /> a ' <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd FIoOI' X = $ <br /> Gara�e X = $ <br /> Estimated Construction Value: � <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site �lumbing ❑ Grading / Filling � Well <br /> ❑ Hardcover Removal ,,��Mechanical ❑ Fire JYElectrical <br /> �'Footing 0 Septic f�Water Connection <br /> �'Poured Wall �Fireplace �Sewer Connection <br /> �!'Foundation Survey � Masonry ,0'Lawn Irrigation <br /> fd'Radon Rock Bed �Mfg. <br /> �'Framing 0 Other(specify) <br /> �'Insulation <br /> J� s-Built Survey <br /> �inal <br /> � Other (specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> ;' Access:Existing: � YES � NO New: � YES � NO <br /> ' REMARKS (TO BE NOTED ON PERNiIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> r_.: s.u. ..., - � <br /> � __,� ,.... .T <br /> � .. , .. , <br /> _ .. _.,..,T .. ..,: <br /> , .,... _ _ <br /> , ., ;, <br /> . � _'�'�, �, ti ,w�-'�`� ,. _ _._,a .,.. � �� . � _ .. .�.�,�,� <br />
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