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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 Inspection � <br /> � Other(specify) � <br /> Miscellaneous Fees l <br /> Calculated By: <br /> UBC: R Construction Type: v <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15 Floor X = $ <br /> 2" FIOOr X = $ <br /> Gara e X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> 0 Site � Plumbing ❑ Grading / Filling ❑ Well <br /> 0 Hardcover Removal � Mechanical � Fire ❑ Electrical <br /> ��ooting 0 Septic � Water Connection <br /> ❑ Foundation Survey 0 Fireplace ❑ Sewer Connection <br /> � Framing 0 Masonry � Lawn Irrigation <br /> 0 Insulation 0 Mfg. <br /> 0 Wall Board 0 Other(specify) <br /> ❑ As-Built Survey <br /> �Final <br /> � Other s ecif ) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES � NO New: 0 YES ,0' 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 />