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Fees to be Char ed 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 Jnspection <br /> Other(specify) <br /> ;: Misceflaneous Fees <br /> Calculated By: <br /> S uare Foota e $ er Square Foota e <br /> Basement X = � <br /> 1St Floor X = � <br /> �` 2nd Floo� X = $ <br /> Garage X = $ <br /> � <br /> Estimated Construction Value: $ ��.�. 0�8 � <br /> �� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site �Plumbing 0 Grading ! Filling � Well <br /> � Hardcover Removal �'Mechanical 0 Fire �@f Electrical <br /> Footing � Septic �`Water Connection <br /> oured Wall �Fireplace �Sewer Connection <br /> undation Survey � Masonry �Lawn Irrigation <br /> adon Rock Bed �Mfg. <br /> �Framing 0 Other(specify) <br /> sulation <br /> � As-Built Survey <br /> Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> � <br /> � <br /> � Other Review: Reviewed by: Date Approved: <br /> � <br /> �- Access:Existing: 0 YES � NO New: 0 YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> �� �/�r��t�Cb�'�o�l�f-'t 0�'1 S �2�. �'•��• t��'�t�t�S' � I O f DU� �4'�'s�'g€� <br /> � <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br /> .;'#� '�;i 'ti'e f`s?i� �,,;;k"�rFve y^;�''�'��1��.* n � i �F " �,:'3-i � �*�r�zh,+�,"�^��.��""��w+'-.�"Po�..�9�.a� � s,-.�'�c �r , 3�5.'�'�n ti,t�"'�'t ""'�; <br /> + � s-. <br /> s _ ,., . , .� 1. ?... _ <br /> � ' ! <br /> �...; -. . . _ _. r�A ..,� .� .. . .. -.r . . .. n -. ,.- , ..-.. . .�. .'$S_ . X � .rY.oT ,-, �..x ,<.._.,.-... . -... <br />