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Fees to be Charged �'ES NO: " •
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<br /> fnvestigation Fee
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<br /> Park Fee LLµ�'n
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<br /> �ther(specify)
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<br /> Cafculated By.:
<br /> Square;Foota e $per Square Foota e j
<br /> Basement X _ �
<br /> 15i Floor X = $
<br /> 2nd FIOo� � � - $
<br /> Garage X = �
<br /> Estimated Construction Value: � �.�i Q�O°�O
<br /> Orono Jnspections Requirec! Work Requiring Separate Permits -Required'State Permits
<br /> ❑ Site �Plumbing ❑ Grading /Filfing ❑ WeI1
<br /> � Hardcover Removal 'echanical ❑ Fire Electrical
<br /> � Footing ❑ Septic � `VUater Connection
<br /> ❑ Poured Wall �ireplace � Sewer.Connection
<br /> ❑ Foundation Survey ❑ asonry ❑ Lawn Irrigation
<br /> ' ❑ Radon Rock Bed �fg.
<br /> Framin9 ❑ Other(specify)
<br /> Insulation
<br /> ❑ As-Built Survey
<br /> �iral
<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 PERMtT)
<br /> Updated: 09h 112009
<br /> z:\formslplan review checklist.docx
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