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Fees to be Char ed YES NO <br /> Permit f <br /> Plan Review c/' <br /> State Surcharge r/ <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 Square Foota e <br /> Basement X = $ <br /> 1 S' Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ( 4 (�S1 � '—� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site �'Plumbing 0 Grading / Filling �'�Vell <br /> � Hardcover Removal �' Mechanical 0 Fire ,O�Electrical <br /> �Footing p"Septic ❑ Water Connection <br /> �Poured Wall �'Fireplace � Sewer Connection <br /> Foundation Survey ❑ Masonry �Lawn Irrigation <br /> Radon Rock Bed �Mfg. <br /> �Framing ❑ Other(specify) <br /> �nsulation <br /> s-Built Survey <br /> Final <br /> ❑ Other(specify) <br /> REMARKS in-house): � <br /> ( <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: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />