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Fees to be Charged YES NO
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<br /> � Plan Review
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<br /> Sfa�e':�Sure�a �e a[�. , , . .
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<br /> fnvestigation Fee
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<br /> Sewer Connection
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<br /> � � P:ark F.ee
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<br /> - Other(specify) ;
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<br /> �S�.E,�$111�1 -
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<br /> Cafculated:By,:
<br /> Square Foota e $per Square Foota e �
<br /> Basement I X = �
<br /> �5t Floor X _ �
<br /> 2"d FloOr )( i = �
<br /> Garage X : - $
<br /> ; a
<br /> Estimated Construction Value: � YS�,t104 �''
<br /> Orono lnspections Requiretl � Work Requiring Separate Permits Required"State Permits
<br /> ❑ `Site Plumbing ❑ Grading /Filling ❑ Well
<br /> ❑ Hardcover Removal Mechanical � Fire Efectrical
<br /> fl Footing ❑ Septic � `Water Connection
<br /> ❑ Poured Wall ❑ Fireplace ❑ Sewer:Connection
<br /> ❑ Foundation Survey ❑ Masonry ❑ Lawn Jcrigation
<br /> ❑ Radon Rock 8ed ❑ IVlfg.
<br /> Framing ❑ Other(specify)
<br /> Insulation
<br /> ❑ ,�s-Built Survey
<br /> �Final -
<br /> ❑ Other(specify)
<br /> REMAF�KS_(in-i�ouse):
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing: ❑ YE5 ❑ NC� Nsw: ❑ YES ❑ NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSDN PULLING PERMfT)
<br /> Updated: D9/11/2009
<br /> z:\formslplan review checklist.docx
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