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.. �.�.... .,.. . _,,��,:,,�r�-�°�=�-„ _ ,__� �^«���,..�_ , . _.... ._ ��, s.. _�_,. ._. ._ _ ., <br /> �� Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee � <br /> SAC— Number of SAC Units vo <br /> Sewer Connection <br /> Water Con.nection <br /> Park Fee <br /> Site Inspection <br /> Other(specify} <br /> Niiscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15t Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 22, 0�C3 �� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site Plumbing � Grading / Filling � Well <br /> 0 Hardcover Removal �Mechanical � Fire �Electrical <br /> � Footing ❑ Septic � Water Connection <br /> � Poured Wall � Fireplace 0 Sewer Connection <br /> � � Foundation Survey 0 Masonry � Lawn Irrigation <br /> 0 Radon Rock Bed � Mfg. <br /> Framing � Other(specify) <br /> �Insulation <br /> 0 As-Built Survey <br /> �Final <br /> � Other(specify) <br /> REMARKS (in-house): <br /> ��� <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 /> Updated: 09l11/2009 <br /> z:\forms�plan review checklist.docx <br /> a <br />