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Fees to be Charged 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 Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ per Square Foota e <br /> Basement X = $ <br /> 1 St Floor X = � <br /> 2nd Floo� X = $ <br /> Garage X - $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site �Plumbing 0 Grading / Filling � Well <br /> 0 Hardcover Removal �Mechanical 0 Fire �Electrical <br /> � Footing 0 Septic ❑ Water Connection <br /> � Poured Wall � Fireplace ❑ Sewer Connection <br /> 0 Foundation Survey � Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed 0 Mfg. <br /> �raming ❑ Other(specify) <br /> ,�Insulation <br /> 0 As-Built Survey <br /> �inal <br /> ❑ Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: 0 YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � _ , <br /> � 2, � �; L r..► � , . <br /> - � _ !'�� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />