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Fees to be Charged YES NO <br /> Permit �; <br /> Plan Review <br /> ' State Surcharge n� <br /> � <br /> Investigation Fee � <br /> SAC—Number of SAC Units .�� ��, ���, =;<-�,;:�. �,� E <br /> ; Sewer Connection <br /> Water Connection <br /> Park Fee <br /> a` Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculatec� By: <br /> Square Foota e $ per S uare Foota e <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> r" <br /> Estimated Construction Value: $ �b 1, (9v� �" <br /> Orono Ins�aections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site �0°'�Plumbing � Grading/ Filling � Well <br /> � Hardcover Removal �echanical � Fire lectrical <br /> �'Footing � Septic ,�0`�V1later Connection <br /> �Poured Wall �ireplace '��wer Connection <br /> �,y< <br /> Foundation Survey � � Masonry �`gLawn Irrigation <br /> �Radon Rock Bed �'`�Mfg. <br /> '`Framing 0�Other(specify) <br /> �Insulation <br /> �;. �"As-Built Survey <br /> 1�inal <br /> f:; � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES � NO New: � YES � NO <br /> f <br /> ' REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> , � �ro� C.c�v�h�1 � re�� unh 4 v�Q I-a�hav� is e��lish�� <br /> U pdated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> -�, �:_._, . �,.:, , _ . <br /> : � . �„�, _: .. .. ,:.,.. . ... <br /> . > ., . .�.. <br /> . �n°'�d����'�. � . ,. ._,. . . <br /> , . �,.s.,, ff.. �.� <br />