Laserfiche WebLink
Fees to be Charged YES NO <br /> �Permit �,./ ��� <br /> Pfan Review I � � <br /> "State::Surcharge � ' I � <br /> Investigation Fee <br /> �SAC ,�Nwmb'er.of,`�AC 17:nits. �ti <br /> .._ _, ,r , . „r.. <br /> Sewer Connection <br /> �1111a#er����n�ec�ion > ��;��m�� ��,���������_r k y,;� `� ����"���������; _�a��„�� <br /> Park Fee <br /> w:�S�i#e�l� �-� -��. � - � ���� <br /> s��e��Eion � ����`�.����'� - ��,�� �"'',������`�Y��.�. ���:��� <br /> Other(specify) <br /> :3M�sc�°Ila�nEous��ees ��k�,��$y r��t��;���� �������.,���r���,��,�� �� ��� <br /> .. .a..._ ..: � . ,� '.i�7''. Srt���,: �! �.*�..rp�'r� ffl's� ..� � S" ! _ <br /> ile,v 4.�rt�"S' .93� "hni •L�....:J�s.., <br /> Calculated By: � r <br /> I Square Foota e $ per S uare Foota e <br /> Basement I X = � <br /> 1 S' Floor X = ' � <br /> 2nd Floo� X I = $ <br /> Garage X = � <br /> Estimated Construction Value: � I I, SGC� `� <br /> Orono inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site Plumbing ❑ Grading / Filling ❑ Well <br /> � Hardcover Removal � Mechanical 0 Fire �Electrical <br /> ❑ Footing ❑ Septic ❑ Water Connection <br /> � Poured Wall ❑ Fireplace ❑ Sewer Connection <br /> ❑ Foundation Survey 0 Masonry ❑ Lawn Irrigation <br /> � Radon Rock Bed ❑ Mfg. <br /> �Framing ❑ Other(specify) <br /> ❑ Insulation <br /> ❑ As-Built Survey <br /> �Final <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES ❑ NO New: ❑ YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND IN(TIALLED BY PERSON PULLING PERMtT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checkfist.docx <br />