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<br /> Fees to be Charged YES ND
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<br /> Plan Review
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<br /> Investigation Fee
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<br /> Sewer'Connectio���f����F,� ._-�h:.. ' �
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<br /> �1J/ater Connecfimn'_ , `�
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<br /> Park Fee
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<br /> �ther;(specify)
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<br /> Calculatec! By.:
<br /> Square'Foota e $ per Square Foota e ; �
<br /> Basement I X ,I _ �
<br /> 1� Floor : X _ �
<br /> 2"d Floor X = $
<br /> �arage X = �
<br /> Estimated Construction Vallie: � YZ�C�pO °—"
<br /> Orono Inspections Required Work Requiring Separate'Permits Required'State Permits
<br /> ❑ Site Plumbing ❑ Grading /Filiing ❑ Well
<br /> � Fiardcover Removal �'Nlechanical ❑ Fire Electrical
<br /> Footing � Septic � Water Connection
<br /> ❑ Foured Wall � Fireplace D Sewer Connection
<br /> ❑ Foundation Survey D Masonry � Lawn Irrigation ' ;`. '
<br /> � Radon Rock Bed � Mfg.
<br /> Framin9 D Other.(specify)
<br /> �''�nsulation
<br /> � As=Built Survey
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<br /> ❑ Other(specify) . . ,.. � .; '
<br /> ;::
<br /> 'REMARKS (in-house):
<br /> Other Review: Reviewed by: <Date Approved:
<br /> Access:Existing: ❑ YE5 � NO New: 0 YES ❑ NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND iNITIALLED BY PERSON PULLING PERMIT)
<br /> Updated: 09/11/2009
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