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� <br /> Fees to be Charged YES NO <br /> Permit �/ ' <br /> � <br /> Plan Review �/ <br /> State Surchar e v- <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: Construction Type: <br /> � Square Footage I j $ per Square Footage '� I <br /> I <br /> Basement ' X = � <br /> I 15 Floor I X i = '� � <br /> ' 2" FIOor ' X j - $ ! <br /> Gara e I X ! _ ; � � <br /> �_ ! I I <br /> Estimated Construction Value: $ (��r�� °� <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> ❑ Site .�Plumbing 0 Grading / Filling ❑ Well <br /> ❑ Hardcover Removal ,� Mechanical ❑ Fire -0 Electrical <br /> ,0' Footing 0 Septic ❑ Water Connection <br /> ❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection <br /> � Framing ❑ Masonry ❑ Lawn Irrigation <br /> ,ef Insulation ❑ Mfg. <br /> ❑ Wall Board ❑ Other(specify) <br /> ❑ As-Built Survey <br /> �Final <br /> ❑ Other specif ) <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 PERMIT) <br /> S � I�- ��,� � S!�D c-r l c�( � l��s i� � l�� �v��.i1v -'�� � ��v: F � .�a �z � , <;. <br /> . � <br /> ��,� ,,' f-�; , _ - ��r ,,- � , . �, ,_ <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />