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Fees to be Char ed YES NO , <br /> Permit � <br /> Plan Review ;i <br /> State Surchar e �/ <br /> Investigation Fee <br /> SAC— Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> UBC: iZ Construction Type: �/ <br /> I S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 S Floor X = $ <br /> 2" FlOOr X = $ <br /> Gara e X = $ <br /> Estimated Construction Value: $ � ?TL'���v 4� <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> ❑ Site Plumbing ❑ Grading / Filling 0 Well <br /> � Hardcover Removal echanical ❑ Fire �Electrical <br /> 0 Footing � Septic ❑ Water Connection <br /> 0 Foundation Survey ❑ Fireplace � Sewer Connection <br /> �'Framing ❑ Masonry 0 Lawn Irrigation <br /> � Insulation ❑ Mfg. <br /> ❑ Wall Board ❑ Other(specify) <br /> ❑ As-Built Survey <br /> Pd Final <br /> ❑ Other (specif ) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES 0 NO New: ❑ YES ❑ 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 />