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_:a.�..^- -�...,� �»�.e�,�:.... .�.e,,..� -•��?�-� �^�,^.sM.�_, ,.�=.�«r ,,, _„ �^:r.:a�� .. . _'�.:_. . -a'�- . - <br /> , . . ._.-., . _.- - . � .:�- . . �..d.,._...A ..�, .t' . ,�..-..m. . ...>.. �.,,�;� ,� ., c.._. <br /> .. . .:.,.� . . __ _� <br /> Fees to be Char ed YES NO <br /> Permi� <br /> Pi�n Review �'' <br /> State Surcharge �,�`` <br /> Investigation Fee <br /> SAC-Number of SAC Units <br /> Sewer Connection <br /> �lllater Connecti�n <br /> Park Fee <br /> Site Ic�spection <br /> Other(specify) <br /> Miscellar�eous Fees <br /> Calculated By: <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1S` Fioor X = $ <br /> 2nd FlOor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ��e�'����'�` ��� <br /> Orono Inspections Required Work Requiring Separate Permits Requireci State Permits <br /> h 0 Site 0 Plumbing Q Grading / Filling ❑ Well <br /> ❑ Hardcover Removal ,�Mechanical � Fire Electrical <br /> �3'Footing 0 Septic 0 Water Connection <br /> � Poured Wall ��Fireplace � Sewer Connection <br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> � Radon Rock Bed F�Mfg. <br /> �Framing ❑ Other(specify) <br /> �nsulation <br /> \❑ As-Built Survey <br /> ��Final <br /> Q Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> , Access:Existing: 0 YES � NO New: � YES ❑ NO <br /> REMARKS (TO BE fVOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />