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.4 '..:.,: , —.:........ .—,:a::;< . , .�.�.:., ...-... . .. .. : ...,,, . ,.... .... .. . . .... .. . . .. . . ... . � . . <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review � <br /> � <br /> State Surcharge <br /> Investigation Fee <br /> SAC-Numbee of SAC l�ni4s <br /> Sewer Connection <br /> Wafier Connection <br /> Park Fee �' <br /> S6te I�spection <br /> Other(specify) � <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ er Square Foota e <br /> Basement X ' _ $ <br /> 1 S' Floor X � _ $ <br /> 2nd Floo� � X � _ � <br /> Garage X = � $ <br /> Estimated Construction Value: $ i 2,0�a o"� <br /> Orono Inspections Required Work Rec�uiring Separate Permits Required State Permits <br /> ❑ Site 0 Plumbing ❑ Grading / Filling 0 Well <br /> � � Hardcover Removal � Mechanical 0 Fire � Electrical <br /> �Footing-E�`�tN� 0 Septic � Water Connection <br /> ❑ Poured Wall ❑ Fireplace � Sewer Connection <br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> �raming ❑ Other(specify) <br /> s 0 Insulation <br /> � As-Built Survey <br /> ,�Final <br /> ❑ Other (specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES � NO New: 0 YES 0 NO <br /> REMEARKS (TO BE NOTED ON PEI2MIT AND INITIA�.LED BY PERSON PULLIPtG PERMlT) <br /> � Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />