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Fees to be Charged YES NO � <br /> �P.ecrnit' <br /> Plan Review <br /> �tat�e;;��urc�ar e <br /> Investigation Fee <br /> `S�1C=`:N�rn6e�r.,o#'SAC+U:nyts _ <br /> Sewer Connection <br /> �lllater:�;Connect�on ` ' <br /> Park Fee <br /> �r�ite;.�ns�ection . . '. <br /> Other(specify) <br /> �Miscellaneous;Fees ` <br /> Calculated B : <br /> UBC: Construction Type: <br /> I S uare Foota e � er S uare Foota e <br /> I I <br /> Basement I � X � - $ <br /> 15 Floor X = � <br /> 2" FlOOr X = � <br /> Gara e X = � <br /> Estimated Construction Value: � So�(�DO °—f' <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> ❑ Site �lumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal ,�Mechanical ❑ Fire Electrical <br /> ❑ Footing ❑ Septic ❑ Water Connection <br /> ❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection <br /> raming ❑ Masonry ❑ Lawn Irrigation <br /> Insulation ❑ Mfg. <br /> ❑ all Board ❑ Other (specify) <br /> �Final <br /> ❑ Other (specif ) <br /> REMARKS (in-houseJ� <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing� ❑ YES ❑ NO New: ❑ YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMfT AND INfTIALLED BY PERSON PULLING PERMIT) <br /> Updated: 07l01l2009 <br /> z:\forms\plan review checklist.docx <br />