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I Fees to be Char ed YES NO <br /> �; <br /> '' Permit <br /> �. Plan Review <br /> State Surcharge � <br /> Investigation Fee <br /> SAC—Number of SAC Units � <br /> Sewer Connection <br /> 1�6atec Connectii�� <br /> Park Fee i <br /> Site Inspection <br /> � Other(specify) <br /> �+ Miscellaneous Fees <br /> � Calcufated By: <br /> �: <br /> r:. <br /> ��� S uare Foota e $ er S uare Foota e <br /> � Basement X = $ <br /> ��'� <br /> �` 1S1 Floor X = $ <br /> 2nd Floo� X = $ <br /> � <br /> � Garage X = $ <br /> �' �: <br /> � Estimated Construction Value: $ ��_ S�O� <br /> Orono Inspections Requireci Vllork Requiring Separate Permits Required State Permits <br /> 0 Site `�Plumbing 0 Grading / Filling � ell <br /> � Hardcover Removal Mechanical 0 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 /> ' " Framing C] Other(specify) <br /> � <br /> �: �nsulation <br /> �'; -Built Survey <br /> � Final <br /> ❑ Other(specify) <br /> R' REMARKS (in-house): <br /> Other Review: 12evie�nred by: Date Approved: <br /> � Access:Existing: 0 YES 0 NO New: ❑ YES � NO <br /> � REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � <br /> � � �r <br /> l�(,� �� � � <br /> � t��; ��'l� � ��'`t-�'� ���/. <br /> � rI x <br /> �' <br /> �' Updated: 09/11/2009 <br /> �` z:\forms\plan review checklist.docx <br /> �' <br /> �.�'^�a-'�J �„�.�a�.'M s n *;�i� .:�,� r .. > ,;5'Y � ..� � #y ..r tf x;��'�'.",r�.*�} r� N <br /> 4ziaaa.�..�,,:�.e� ,�z.,+h« .,. .,�.. . . , ._,a ., � . , . . -�, ....., . .. . . . .�.... ,,,. _..,e.. . _ s., __.� _.�"�. . . �M�u.,Y"�`„ ..s, .. <br />