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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review ,� <br /> State Surchar e � <br /> Investigation Fee r/ <br /> SAC— Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Ins ection . <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated B : <br /> UBC: IZ Construction Type:_ �n! <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 S 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 0 Plumbing ❑ Grading / Filling � Well <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire � Electrical <br /> fd'Footing ❑ Septic ❑ Water Connection <br /> ❑ Foundation Survey ❑ Fireplace 0 Sewer Connection <br /> �Framing ❑ Masonry � Lawn Irrigation <br /> 0 Insulation ❑ Mfg. <br /> 0 Wall Board ❑ Other (specify) <br /> 0 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 />