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. <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review r� <br /> State Surchar e <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specif ) <br /> Miscellaneous Fees <br /> Calculated B : <br /> UBC: 1� Construction Type: �! <br /> S uare Foota e $ er S uare Foota e I ' <br /> Basement X = $ <br /> 1 S Floor X � _ $ <br /> 2� Floor X = $ <br /> Gara e X = $ <br /> � <br /> Estimated Construction Value: $ lt�, S3$0 �= <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> 0 Site 0 Plumbing ❑ Grading / Filling ❑ Well <br /> � Hardcover Removal 0 Mechanical ❑ Fire �" Electrical <br /> B'Footing � Septic ❑ Water Connection <br /> ❑ Foundation Survey 0 Fireplace ❑ Sewer Connection <br /> .O�Framing � Masonry 0 Lawn Irrigation <br /> 0 Insulation � Mfg. <br /> � Wall Board � Other(specify) <br /> ❑ As-Built Survey <br /> ,O�Final <br /> 0 Other(s ecif ) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES ❑ NO New: ❑ YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> U pdated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />