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Fees to be Charged YES NO <br /> Permit � <br /> Plan Review ✓ <br /> State Surchar e ,/ <br /> Investi ation Fee ✓ <br /> SAC— Number of SAC Units - ' b- ,�{ ,� ;.ir��;, �/ <br /> Sewer Connection ri' <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calcutated By: <br /> UBC: C� Construction Type: �/ <br /> Square Foota e $ er S uare Foota e <br /> I <br /> Basement X i = $ <br /> 1 S Floor X I = $ <br /> � 2" FlOOr X = $ <br /> Gara e X = i $ <br /> Estimated Construction Value: $ b�U�U�O �� <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> ❑ Site Plumbing � Grading / Filling �Well <br /> ❑ Hardcover Removal �d Mechanical ❑ Fire J3�Electrical <br /> �'Footing �0 Septic ❑ Water Connection <br /> Foundation Survey � Fireplace ❑ Sewer Connection <br /> �raming ❑ Masonry p'Lawn Irrigation <br /> nsulation f� Mfg. <br /> 0 all Board 0 Other(specify) <br /> s-Built Survey <br /> ,�Final <br /> �Other s ecif ) l. -n.� <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES ❑ NO New: ❑ YES � NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />