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Fees to be Charged YES NO <br /> Perm it <br /> Plan Review <br /> Sfiate Surchar e <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 /> UBC: Construction Type: <br /> ' ! Square Foota e $ er S uare Foota e ' '� J <br /> � <br /> rBasement � � X i i = I $ I <br /> 1 S Floor � X I ' _ ! $ <br /> ; 2� FloOr � X I = i $ I <br /> ' Gara e '� X ' _ ' $ ; <br /> i <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requirinq Separate Permits Required State Permits <br /> � Site ❑ Plumbing ❑ Grading / Fit!ing ❑ Well <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical <br /> ❑ Footing ❑ Septic ❑ Water Connection <br /> oundation Survey ❑ Fireplace ❑ Sewer Connection <br /> ❑ Framing ❑ Masonry ❑ Lawn Irrigation <br /> ❑ Insulation 0 Mfg. <br /> ❑ Wall Board ❑ Other(specify) <br /> s-Built Survey <br /> � Final <br /> 0 Other (specif ) <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 PERMIT) <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />