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Fees to be Charged YES N0 ~ <br /> Pecmit - :;+ � ' <br /> Plan Review �- V <br /> State°:Surcharge _ ;� �,�.`'', <br /> Investigation Fee � <br /> 'MS�AC ..:�Nurriber�f-SAC:Uriits °:,� �,�� �z:� ��, �: ,� � <br /> µSewer Connection <br /> .�1'Na#�er�� + , t, ,µ ��.�_ � �, �� s - <br /> _,�, ?a'll;CfJ��n.Il �,�''�.�-�������'�fr�w�;.+�•�C��*�,�'�. ..�:� <br /> Park Fee <br /> .�i#e�Fns�ec�Eion������fi�,������ . �'��.. w ��, `� . � <br /> '�. <br /> ���, :� � s�, �; .�� � <br /> JOther(specify) <br /> �lYlasce�ila�r�eous�Fees�x������`.����:�...5`u����a:��`����.�,�� ti, � �, <br /> � � � r <br /> _ :x7'Wt�Y 3'��f.M,.. �4Mr "R'a''4, A��'xj'.�F� <br /> Calculated By: <br /> S uare Foota e $ er Square Foota e <br /> Basement X = $ <br /> 1 S' Fioor X = $ <br /> 2nd Flool' X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 1 � , �L`i ��� <br /> Orono fnspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site Plumbing ❑ Grading / Filling ❑ Well <br /> 0 Hardcover Removal Mechanical ❑ Fire .{�'�'Electrical <br /> 0 Footing � Septic ❑ Water Connection <br /> 0 Poured Wall ❑ Fireplace � Sewer Connection <br /> 0 Foundation Survey 0 Masonry � Lawn Irrigation <br /> ❑ Radon Rock Bed � Mfg. <br /> Framing � Other(specify) <br /> ❑ Insu{ation <br /> � As-Built Survey <br /> Final <br /> ❑ 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 NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checkfist.docx <br />