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Fees to be Char ed YES NO <br /> Perm it c/" <br /> Plan Review V <br /> State Surchar e <br /> Investigation Fee <br /> SAC— Number of SAC Units Q �q � G•Z b• ✓ <br /> Sewer Connection � <br /> Water Connection �/ <br /> Park Fee ✓ <br /> Site Inspection ,i <br /> Other(specif ) � <br /> Miscellaneous Fees <br /> Calculated By: <br /> UBC: 2 Construction Type: �/ <br /> Square Foota e $ er S uare Foota e <br /> Basement I X = $ <br /> 1 S Floor X = $ <br /> 2" FIOOr X = $ <br /> Gara e X = $ <br /> � <br /> i <br /> Estimated Construction Value: $ Z�i3,600 �� <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> � Site .�Plumbing ❑ Grading / Filling ,� ell <br /> � Hardcover Removal Mechanical � Fire Electrical <br /> � Footing ❑ Septic � Water Connection <br /> Foundation Survey �' Fireplace �ewer Connection <br /> �' raming 0 Masonry Lawn Irrigation <br /> �nsulation ,�Mfg. <br /> ❑ all Board 0 Other (specify) <br /> As-Built Survey <br /> inal <br /> Other (s ecif ) 2qpdnl Gk..� <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ 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 />