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Fees to be Charged YES NO <br /> Permit_ • <br /> Plan Review �/' <br /> State'Surcharge �/ . <br /> Investigatron Fee �� <br /> 'SAC-Number of SAC Units _ <br /> Sewer Connection <br /> 'Watec:Connection <br /> Park Fee <br /> "Site Inspection <br /> Other (specify) <br /> Miscellaneous Fees ` �- . - - <br /> Calculated By: <br /> Square Footage I $ per Square Foota e <br /> Basement � � X = $ <br /> 1 St Floor X = � <br /> 2"d Floor X = $ <br /> Garage X � _ $ <br /> Estimated Construction Value: $ (�(���'j� � <br /> Orono tnspections Required I • Work Requiring Separate Permits Required State Permits <br /> ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal ,0'Mechanical ❑ Fire �Electrical <br /> Footing ❑ Septic ❑ Water Connection <br /> ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection <br /> ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation <br /> � ❑ Radon Rock Bed I ❑ Mfg. <br /> ❑ Framing � ❑ Other(specify) <br /> ❑ Insulation <br /> ❑ As-Built Survey <br /> �Final <br /> ❑ Other(specify) <br /> REMARKS (in-house): (/YC.uJ �2C �� � V�4��-6 �' �1 �`���"( h-2.✓�'�� <br /> � ��4<< �� �,�s 3 <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO <br /> REMARKS TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) L���. PP.I'�ir� S <br /> � P�f /� e V lY <br /> .?iYt C�. cJ u!�✓ �o � � . �� Uv�cc h �� CriLi s GQ-✓e� �,wc�. <br /> �'1Yl /'.�0/�1 Dt�'m��s : �Ir.ec� dr�rr�ci.e.. �o �lr-/��n�.e.. sc��(� r,,, ar�•� <br /> -Iz� �Gte_ Sa��ffl . <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />