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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review � <br /> State Surcharge � <br /> Investigation Fee <br /> SAC-Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ per S uare Foota e <br /> Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd FIoOI' X = $ <br /> Garage X = $ <br /> a� <br /> Estimated Construction Value: $ ��r�, �^93 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site 0 Plumbing � Grading / Filling ❑ Well <br /> � Hardcover Removal ❑ Mechanical 0 Fire 0 Electrical <br /> � Footing � Septic 0 Water Connection <br /> � Poured Wall � Fireplace � Sewer Connection <br /> Foundation Survey � Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed � Mfg. <br /> 0 Framing � Other(specify) <br /> � Insulation <br /> s-Built Survey <br /> 0 Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: ❑ YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PU ING PERMIT) <br /> � lv01�� TeM.P c. o. w� tl ►1o�F iSsv�c� t.w..1�3s e1r{ve n� w�N-�� �a�1;�S �x ��F. p� <br /> � tL��0aD ,�Sc rt�►�J iS veP��u'�Pd . <br /> ��Ll I►'l(►'�1 V��l-�e C�%�'1GXl V l,eP� i�'�1 � � ��I/(,�� � `�I.v''�/►Lt�1 t-7�,� <br /> "� ►'L lJ�"� �},��'�'�i �%��e Cr c py� —'�-.�- -i-1,� {1►'�-i.� �T`�0 <br /> U pd at�d: 09/11/2009 • �'l'�� <br /> z:\forms\plan review checklist.docx �� . <br />