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Fees to be Char ed YES NO <br /> Permit � <br /> Plan Review �/ <br /> State Surchar e , <br /> Investigation Fee <br /> SAC— Number of SAC Units �/ � <br /> Sewer Connection �/' <br /> Water Connection ,/ <br /> Park Fee <br /> Site Ins ection ✓ <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> UBC: Construction Type: <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 S Floor X = $ <br /> 2� Floor X = $ <br /> Gara e X = $ <br /> Estimated Construction Value: $ ZD.U�� � <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> � Site ❑ Plumbing 0 Grading / Filling ❑ Well <br /> � Hardcover Removal ❑ Mechanical ❑ Fire 0 Electrical <br /> 0 Footing � Septic � Water Connection <br /> � Foundation Survey ❑ Fireplace � Sewer Connection <br /> 0 Framing 0 Masonry 0 Lawn Irrigation <br /> � Insulation 0 Mfg. <br /> 0 Wall Board ❑ Other(specify) <br /> s-Built Survey <br /> Final <br /> � Other s ecif ) <br /> REMARKS (in-house): ��L��V`�� . � � �'���✓� �Ll <br /> fik-e- � '(�n,% �t` �-�►'v�vt � �� -}� 2L?9't - D�ZZ-3 <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: O YES 0 NO New: 0 YES � NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />