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2010-00698 - addn/remodel/repair
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2515 Countryside Drive - 04-117-23-11-0007
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2010-00698 - addn/remodel/repair
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Last modified
8/22/2023 5:05:54 PM
Creation date
4/29/2016 3:20:44 PM
Metadata
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Template:
x Address Old
House Number
2515
Street Name
Countryside
Street Type
Drive
Address
2515 Countryside Dr
Document Type
Permits/Inspections
PIN
0411723110007
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Updated
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Fees to be Charged YES NO � � ' <br /> P.ermit,,=�._ . , _ <br /> Plan Review � <br /> State:;Surcharge �/ <br /> Investigation Fee <br /> ';SAC-;�N�mber of SAC:Units . <br /> Sewer Connection <br /> 1Nater;;Connection ;: > ` ° ;% ; <br /> Park Fee <br /> 'Site�ln5�ection - ' <br /> Other (specify) <br /> 'Miscellaneous�Fees --. 1� �:: _ <br /> .. _. <br /> Calculated By: <br /> � Square Footage � � $ per Square Foota e � <br /> Basement I X � - $ <br /> 15t Floor � X i = � <br /> 2"d FIOOr I X = ' � <br /> Garage X = � <br /> Estimated Construction Value: � 2��oC9p �� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits � <br /> ❑ Site ❑ Plumbing ❑ Grading / Filfing ❑ ell � <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire Electrical <br /> ❑ Footing � ❑ Septic ❑ Water Connection <br /> ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection <br /> ❑ Foundation Survey ❑ Masonry 0 Lawn Irrigation <br /> ❑ Radon Rock Bed ❑ Mfg. <br /> �Framing ❑ Other(specify) <br /> Insulation <br /> ❑ �s-Built Survey <br /> ��Final <br /> � Other(specify) <br /> � <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 PERMfT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />
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