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Fees to be Charged YES NO - <br /> erm�t. �. : <br /> "� . ;- , - . . <br /> Plan Review <br /> 5tate:Surcharge - �;/ <br /> Investigation Fee <br /> �SAC `.�N�amber:ofi:SAC'Units : ; <br /> Sewer Connection <br /> 1Na#er>;Connection <br /> Park Fee <br /> Site�ln5pection <br /> Other (specify) - <br /> ;:Miscel{aneous-Fees : `- ' ' ,.> . ;- � �., - <br /> ' <br /> Calculated By: <br /> I Square Footage I $ per Square Foota e I 'i <br /> Basement � X I - $ <br /> 1S' Floor X = � <br /> 2nd Floo� X = � <br /> Garage X = � i <br /> Estimated Construction Value: $ 2`-12, U(aD <br /> eo <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site ❑ Plumbing ❑ Grading / Filfing ❑ Well <br /> ❑ Hardcover Removal I�'Mechanical ❑ Fire �( Electrical <br /> �Footing {� ❑ Septic ❑ Water Connection <br /> .�Poured Wall ❑ Firepface ❑ Sewer Connection <br /> ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation <br /> �" Radon Rock Bed ❑ Mfg. <br /> J�Framing ❑ Other(specify) <br /> f�lnsulation <br /> �As-Built Survey - z���h+'�-� <br /> ,0'Final <br /> ❑ Other(specify) <br /> REMARKS (in-house): <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 PERMfT) <br /> �rl-�t�'E,' �'c>o� (-lc�� � rtr�� Y-�cl- h/�v�.. �'� �� ,.;vl.�ct •� .+Zn�N'/�,�v� <br /> �.t�.. �sh'N�'S hd�SYVI <br /> Updated: 09/1 1/2009 <br /> z:\forms\plan review checklist.docx <br />