|
Fees to be Charged �'ES NO
<br /> _ , . • ��' � �
<br /> ,- � ..
<br /> .., � . - . , �
<br /> �'r�'�nu�' n��� .." f ��rr� ;� W � ', ��,.,. �,� t
<br /> .,.. . _a .. . .,�. .� _n<�ra_ :_ ,kr, . .,:�,' .,, ..x, ., ��' ' ���
<br /> Ptan Review
<br /> ����. ..,,axarmu��:. � �� ��.. . . y�. .. -.. ._ ... ... ..
<br /> N'i �1,��� � , _ ..,.
<br /> ra...ry.MYs� .iWd t6.
<br /> Investigation Fee
<br /> �C��. C �S2JNtA't - _
<br /> � _ niN'Llm!bL'u.�o�`f�5�'��IAai� r {'
<br /> . ,.� ., , ..c . ,k�, . FN:_. fi+. -
<br /> . . �:_, , , _ .. ._. .,. .,, - .... ..��.: ._. . .. ....,. . .. .,..,. .. ;
<br /> Sewer Connection
<br /> ., s , v �^ .y,_
<br /> �IJGaterFConnecfi�on-; , � y :�j. r..� ,•. �����;,
<br /> } .Y ....: - ..
<br /> -^h .,�7�'1,7t�`A. -.iGCA. '_
<br /> �i.i.,,�., .�, . .�r..�i . rc .�. ' ��`:... 3.. ..
<br /> Park Fee I
<br /> �� �1��1�:11 �.��w�����";�'�. I "'`>���;a`7 .y,?' n�',�i._ .
<br /> ' i: .. „; � `s,_
<br /> �ther�(specify) I °
<br /> �. . : :��� �.,;�� �.,. _
<br /> ,rs�.e�F3a�ru�„�,� �ae•e� ��� "�� -r�. :� �� `��«����
<br /> b � ��au .a
<br /> Caiculateci By: � . . :
<br /> � S uare.Foota e $ per Square'Fnota e I �
<br /> Basement X ; _ �
<br /> 1� Floor : X ; _ �
<br /> 2nd FIDo� X _ $
<br /> Garage X = �
<br /> Estimated Construction Value: � Z, C�Oc� "—"
<br /> Orono Inspections RequirecJ Work Requiring Separate'Permits Required State Permits
<br /> ❑ Site � Rlumbing ❑ Grading /Filiing ❑ Wel1
<br /> ❑ Hardcover Removal 0 Mechanical ❑ Fire lectrical
<br /> � footing � 5eptic 0 Water Connection
<br /> ❑ Poured Wall 0 �irepiace ❑ Sewer Connection
<br /> � Foundation Survey ❑ Nfasonry ❑ Lawn lrrigati�n
<br /> �adon Rock Bed ❑ IVlfg.
<br /> Framing ❑ Other.(specify)
<br /> 0 'Insulation
<br /> ❑ �rs-Built Survey
<br /> �Final
<br /> ❑ Other�specify)
<br /> REMARKS {in-fiouse):
<br /> Other Review: Reviewed by: Date Appro�ed:
<br /> Access:Existing: ❑ YE5 � NO NEw: � YES 0 NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMtT)
<br /> Updated: D9/11/2009
<br /> z:lformslplan review check(ist.docx
<br />
|