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��..�;a,n ,-�,.�._._..f. .., . .,�. :„- . . �-<r ,...,r--�.��,.-,Y .„-:�..�-_�..- �; .:�--�-.w,,:-:-,�--_---�--x a--:�-.-�> -�„-�..�,.<.a-; -�-;•--.�- <br /> .. .,, .r . . <br /> � - . <br /> Fees to be Char ed YES NO <br /> Perrnit <br /> Plan Review <br /> State Surcharge <br /> � investigation Fee <br /> SAC—Number of SAC Units � � � <br /> Sewer Connection <br /> ,` <br /> Water Gonr�ection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscelianeous Fees <br /> Calculated By: <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> ;': <br /> Estimated Construction Value: $ �I 50�t300 °� <br /> 3 <br /> � Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site Plumbing � Grading / Filling ell <br /> � 0 Hardcover Removal echanical 0 Fire Electrical <br /> Footing Septic � Water Connection <br /> Poured Wall Fireplace � Sewer Connection <br /> Foundation Survey 0 Masonry [fYCawn Irrigation <br /> Radon Rock Bed �Mfg. <br /> Framing 0 Other (specify) <br /> nsulation <br /> � s-Built Survey <br /> �inal <br /> Q Other(specify) <br /> � <br /> REMARKS (in-house): <br /> � <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES 0 NO New: � YES ❑ NO <br /> ftEMARFCS (TO BE NOTED ON PERMIT AfVD INITIALLED BY PERSON PULLING RERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> � <br /> k <br />