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Fees to be Charged YES NO . <br /> :Pecmit � � <br /> � �:p ;t'� <br /> Plan Review _ __, - .: . �: .,.,,,,, <br /> `Staxe:�Surcharge j a w a��� <br /> ., . , , �. ; <br /> -: 4:. " . . � __.. <br /> Investigation Fee <br /> ;°S��C �Nu�be.rlof.`SAC.LI;�iiits � _- .��r rts- � <br /> Sewer Connection <br /> �Vlla#�e ��'e��si,�.�=`.� u4 ,, �. f=� �y <br /> �ti..xm,�o�.x ,..�.en. "�.�F't�'a*�''��'��.��� � `�'�°."',Y�,�t"�.�-�w�'`in�s ��`��. 3���.^t�� <br /> Park Fee <br /> ";�Sti�e�l�s�pex`�ion�'���-�,` . �� ��� � ��� ��� <br /> .. <br /> ,_ �y._.�,. � , , ,. q . <br /> ..�,� <. , .�._.� � _,� , , <br /> .. .. .... .. . .,r .-,. x _�3�, _ T, y-' <br /> Other(specify) <br /> ;'�tSC����i�tl@OIIS�Fe�S�'� `=���� �'�z �,'���4�,�^.,�,rs'-�"c.7�•�"��t ��v, x� .;�,-- <br /> _ ��r- �. x, ,�,�+`� <br /> Calculated By: <br /> S uare Foota e $ per Square Foota e <br /> Basement X = � <br /> 151 Floor X = � <br /> 2nd FIOo� X = $ <br /> Garage X = � <br /> Estimated Construction Value: $ .$,U�O `�= <br /> Orono fnspections Required Work Requiring Separate Permits Required State Permits <br /> � Site ❑ Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal � Mechanical � Fire Efectrical <br /> � Footing ❑ Septic ❑ Water Connection <br /> � Poured Wall � Fireplace � Sewer Connection <br /> � Foundation Survey ❑ Masonry ❑ Lawn Irrigation <br /> ❑ Radon Rock Bed ❑ Mfg. <br /> �Framing ❑ Other(specify) <br /> f}'Insulation <br /> ❑ As-Built Survey <br /> �Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES 0 NO New: � YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> U pdated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />