,
<br /> Fees to be Charged �ES NO M
<br /> �P��'itaiii��t�a�4����«���, �,�x�, ' lr �� �,�., w ,�+
<br /> +�aF�',mv;��r�YB�t�'�s��*ir�e �*�n _�,?'r"�P�� _ '•`y� 5�w,���' r, �-`� ���� � u:.� �'h,�t�.
<br /> i Pfan Review
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<br /> invesfigation ree
<br /> �����,���Number of=SAC<Units, _ ��'� �,��;- ; ,��"
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<br /> y•, ^. � Y.. _ . „�, ,.� .,,:
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<br /> Sewer Connection I
<br /> � ���� �� , �y
<br /> ���E;I�C'��Il(a�31m:� � '����,``�� �t.���` ,r �- >
<br /> �....eir�.�aom« �"'�+� a,wc._e. .�,,-ny ..Y N_-''rt'�¢,�n1�t� h'u� `"" '�; � .
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<br /> Park Fee I
<br /> . -���_
<br /> ._.� ,: ..
<br /> '��e �s��i�n . ° -�����,,..,�,-
<br /> �, _. „ ,..,._ �.µ
<br /> �,� . . _ �,�n� _
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<br /> Other-(specify) -
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<br /> �1-a.s�:�'��,'.�..������ " ` - -
<br /> . , � .. . . _:.
<br /> ` Calculateii By.:
<br /> Square Foota e $ per Square Foota e
<br /> Basement X _ �
<br /> 15t Floor X _ �
<br /> 2nd FIDOT X _ �
<br /> Garage � X = g
<br /> Estimated Construction Value: � �I O� `�{'-�(� �0`°
<br /> Orono Inspections RequirecJ Work Requiring Separate Permits Required'State Permits
<br /> ❑ Site ❑ Plumbing ❑ Grading l Filling ❑ Wel�
<br /> ❑ Hardcover Removal � IVlechanical ❑ Fire Electrical
<br /> � Footing ` � Septic ❑ 1Nater:Connection
<br /> � Poured Wall ❑ Firepface D Sewer-Connection
<br /> ❑ Foundation Survey ❑ Masonry ❑ Lawn frrigati�n
<br /> ❑ adon Rock Bed ❑ Mfg.
<br /> Framing ❑ Other(specify)
<br /> Insulation
<br /> ❑ As-Built Sunrey
<br /> �Final
<br /> n Other(specify)
<br /> REMARKS (in-fiouse):
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing: ❑ YE5 ❑ NU New: ❑ YES � NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
<br /> Updated: Q9/11/2009
<br /> z:lfortns\plan review checklist.docx
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