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Fees to be Charged YES NO <br /> Permit ��` <br /> Plan Review � <br /> State Surcharge �y""� <br /> Investigation Fee ; <br /> SAC—Number of SAC Units ;� <br /> Sewer Connection '';. <br /> Water�onnection �: <br /> Park Fee <br /> Site inspection � <br /> Other(specify) ' <br /> Miscellaneous Fees <br /> Calculated By: <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1S' Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ � �;��= t,�';..= - <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site �Plumbing � Grading / Filling �7AWell <br /> 0 Hardcover Removal ��Mechanical � Fire ,� Electrical <br /> � ,,k�Footing �Septic ❑ Water Connection <br /> ►. �Poured Wall Fireplace � Sewer Connection <br /> � � <br /> F 1�Foundation Survey � Masonry �`'Lawn Irrigation <br /> �� Radon Rock Bed ��Mfg. <br /> e ��Framing � Other(specify} <br /> � `Insulation <br /> ��� „��As-Built Survey <br /> �Final <br /> � �0 Other(specify) ^ <br /> REMARKS (in-house): � ���� '� � � �� � 4 '��V ��� ��� � �� � <br /> I <br /> �,: <br /> � Other Review: Reviewed by: Date Approved: <br /> �. <br /> � Access:Existing: 0 YES ❑ NO New: 0 YES 0 NO <br /> r <br /> REMA►RKS(TO BE NOTED OI� PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � ` f <br /> 1-�e .,._�Y �;���a�``,�4f�r;� 'i 2, �' ,- �— :�/'rE`i ���:r o ,f<�.� di.1 ,,�, r„� .� .;3/:� '`/ �.t�i�/ <br /> -� t ��—'���F� r : ` <br /> , <br /> F a <br /> �����..��� tt���.�-��`_ <br /> � ��e � �i ��f�`' � t K� �. <br /> a�— �Ji�� ��-D�- ��- ' ������� ���,G'��, <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />