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Fees to be Charged YES NO <br /> Permit �/ <br /> Plan Review ✓' <br /> State Surcharge �/ <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 <br /> Calculated By: <br /> Square Footage $ per Square Foota e <br /> Basement X = $ <br /> 1 S' Floor X = $ <br /> 2"d FIoO� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well <br /> � Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical <br /> �ooting ❑ 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 /> � Insulation <br /> ❑ -Built Survey <br /> Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: 0 YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> ,�.' �� 1 , � � �� �'�a :'1 �i- !-�� �1 t� ( ,`���� i f �'l -��� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />