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Fees to be Charged YES NO � .
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<br /> Plan Review
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<br /> tnvestigation Fee
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<br /> Sewer Connection I
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<br /> P.ark Fee
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<br /> Calculatetl By: -
<br /> S uare Foota e :$ per Square`Foota e (
<br /> Basement X = �
<br /> 1 St Floor X _ �
<br /> 2na Floo� )( I = �
<br /> Garage X = �
<br /> Estimated Construction Value: � L U�pC9C� �=
<br /> Orono.Inspections Requirec! Work Requiring Separate Permits Required'State Permits
<br /> ❑ Site ❑ Plumbing ❑ Grading/Filling ❑ Well
<br /> ❑ Hardcover Removal 0 Mechanical ❑ Fire � Efe�trical
<br /> fl Footing ❑ Septic D V1/ater Connection
<br /> ❑ Poured Vllall ❑ �ireplace � Sewer-Connection
<br /> ❑ Foundation Survey ❑ Masonry ❑"Lawn frrigation
<br /> ❑ Radon Rock Bed ❑ Mfg.
<br /> fl framing ❑ Other(specify)
<br /> 0 Insulation
<br /> -Built Survey
<br /> Final - -
<br /> ❑ Other(specify)
<br /> REMARKS (in-house):
<br /> O.ther Review: Reviewed by: Date Approved:
<br /> A�cess:Existing: 0 YES 0 NO New: ❑ YES ❑ NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERM(T)
<br /> Updated: D9/11/2009
<br /> z:lfortnslplan review checklist.docx
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