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Fees to be Charged YES 'NO <br /> Pecm it ,,,,.- . <br /> ,:j <br /> � Plan Review l <br /> 'S#ate_Surcharge I =�� <br /> Investigation Fee <br /> =�S�AC ;�Num`ber�of-`SAC.Un'its �,,:,; �T � ��,;k . ��, -_ <br /> Sewer Connection s <br /> �Ifa�e��n�aec�in.r��.���-�:n � u�,��"����";�'`��:`����"��-�������;��;�'".��..��' � <br /> Park Fee <br /> fhs.5'I�i����IIS @�LOII`�'}^`k'��� e�� o-"�,� �5 ,. � Y� �, �ry ,� ��1� �� r'- <br /> w .„..,u+:� ., :�.�h u... 97"tt��s�'�R`�i.'K2� ... Y � �����^�y������r��� }P�.'+' �� <br /> ..,p�' <br /> Other(specify) <br /> ��IIYf�scel;la�neous�Fses .�>.�� ����-����`������ a4�`-��'�F�,�,�^?,��n�:��r��ni�. ��3���,�x.��€ <br /> Calculated�By: <br /> S uare Foota e $ per Square Foota e <br /> Basement X = � <br /> 1 S' Floor X _ � <br /> 2nd Floo� X = � <br /> Garage X _ � <br /> c <br /> Estimated Construction Value: � -���Oc�� " <br /> Orono Inspections Required Work Requiring Separate Permits � Required State Permits <br /> 0 Site J�F'lumbing ❑ Grading / Filling 0 Well <br /> ❑ Hardcover Removal �Mechanical ❑ Fire Electrical <br /> � Footing ❑ Septic ❑ Water Connection <br /> ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection <br /> ❑ Foundation Survey ❑ Masonry � Lawn Irrigation <br /> ❑ Radon Rock Bed ❑ Mfg. <br /> ,0'Framing � Other(specify) <br /> �'Insulation <br /> �� As-Built Survey <br /> �inal <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES � NO New: 0 YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checkfist.docx <br />