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Fees to be Cha� ed YES NO <br /> Permit � <br /> Plan Revievv <br /> State Surcharge � <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Sewer Conrrection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees � <br /> Calculated By: <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd FIoOI' X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ � r (�� 1 J' <br /> Orono tnspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing ❑ Grading / Filling � Well <br /> 0 Hardcover Removal � Mechanical � Fire 0 Electrical <br /> `�Footing � Septic � Water Connection <br /> � Poured Wall � Fireplace � Sewer Connection <br /> � Foundation Survey � Masonry � Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> � Framing 0 Other(specify) <br /> 0 Insulation <br /> As-Built Survey <br /> � inal <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Reviewr: Reviewed by: Date Approved: <br /> ' Access:Existing: 0 YES � NO New: � YES � NO <br /> �: <br /> �` . REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � �� �� �.����� ��.1!��.���� °� ����'���`�� � ��li� '�``--' r�"�`.������.. �`�`9 ��,����� <br /> � � <br /> ,=��� <br /> P.�� �-art�`����`� ��::��,�,�i � r�,�=���P� Y� �`$� � ' 1 ;� �s��'�'� -�_ �f„� ' .-; ,��. <br /> � �a � � � <br /> � �� ��`���� j��. �;;�,��� �� e r��� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />