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' • r <br /> Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State'Surcharge <br /> Investigation Fee <br /> :SAC—'Number:of SAC Units <br /> Sewer Connection <br /> W.ater Connection <br /> Park Fee <br /> 'Site Inspection <br /> Other(specify) <br /> ;,Miscellaneous Fees <br /> Calculated By: <br /> Square Footage I $ per Square Foota e I <br /> Basement X I = $ <br /> 15' Floor I X = � <br /> 2nd FIooI' X = $ <br /> Garage X = � <br /> c? <br /> Estimated Construction Value: � ��5'OC�� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits ! <br /> i <br /> ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well � <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire �Electrical � <br /> �'Footing i ❑ Septic ❑ Water Connection I <br /> ❑ Poured Wall I ❑ Fireplace ❑ Sewer Connection <br /> I ❑ Foundation Survey I ❑ Masonry ❑ Lawn Irrigation <br /> ❑ Radon Rock Bed ❑ Mfg. <br /> �Framing ❑ Other(specify) <br /> ❑ Insulation <br /> ❑ -Built Survey <br /> Final <br /> ❑ Other(specify) <br /> I <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 PERMfT) <br /> Updated: 09/1 1/2009 <br /> z:\forms\plan review checklist.docx <br />