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<br /> � Fees to be Char ed VES I�O
<br /> ,
<br /> Permit
<br /> Plan Review �
<br /> �
<br /> � State Surcharge �
<br /> �' Investigation Fee
<br /> � SAC—Number of SAC Units +
<br /> � Sewer Connection
<br /> � Water Connection ;
<br /> f
<br /> Park Fee
<br /> Site In�pection
<br /> Other(specify)
<br /> ll�iscellaneous Fees
<br /> Calcuiated By:
<br /> S uare Foota e $ per SQuare Foota e
<br /> Basement X = $
<br /> 1 St Floor X = $
<br /> !' 2nd FlOor X = $
<br /> [' �
<br /> Gara9e 'c� c�' � X ��. � ' _ � 5� � �{� ��'
<br /> �� r- �; fs
<br /> �: Estimated Construction Value: $ ,����.��; �
<br /> �;
<br /> � Orono Inspections Required Work Requiring Separate Permits Required State Permits .
<br /> �;
<br /> � Site 0 Plumbing 0 Grading/ Filling 0 Well
<br /> �� 0 Hardcover Removal ❑ Mechanical � Fire ,�`Electrical
<br /> � 'Footing 0 Septic 0 Water Connection
<br /> ❑ Poured Wall � Fireplace � Sewer Connection
<br /> �� ❑ Foundation Survey 0 Masonry � Lawn frrigation
<br /> C] Radon Rock Bed � Mfg.
<br /> � ,�'Framing 0 Other(specify)
<br /> �, � Insulation �
<br /> : . As-Built Survey
<br /> ,- �Final
<br /> � 0 Other(specify)
<br /> �
<br /> f
<br /> � REMARKS (in-house):
<br /> �;
<br /> �� Other Review: Revieweci by: Date �4pproved:
<br /> �
<br /> � Access:Existing: ❑ YES � NO Nevv: � YES � NO
<br /> F
<br /> � REMARKS (�O BE NOTED Of� PERMIT AND INITIALLED BY PERSOt� PULLINf� PERMIT)
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<br /> s Updated: 09/11/2009
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