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Fees to be Charged YES NO <br /> Pe rm it �/ <br /> Plan Review �/' <br /> State Surchar e <br /> Investigation Fee <br /> SAC-Number of SAC Urtits <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> UBC: Construction Type: <br /> S uare Foota e ' ; $ per Square Foota e I <br /> '� , � i, � <br /> , <br /> ; Basement ! � X , _ � $ <br /> ' 1 s Floor ! I X � = I $ <br /> � 2" FIOOf� i X � ! - I $ <br /> � Gara e ! � X ! _ ; $ <br /> � � I I <br /> Estimated Construction Value: $ [n`Z,,c9c�0 r <br /> Orono lnspections Required Work Requirinq Separate Permits Required State Permits <br /> ❑ Site � Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal � Mechanical ❑ Fire Electrical <br /> ting ❑ Septic ❑ Water Connection <br /> Foundation Survey ❑ Fireplace ❑ Sewer Connection <br /> ming ❑ Masonry ❑ Lawn Irrigation <br /> �Insulation ❑ Mfg. <br /> � all Board ❑ Other(specify) <br /> s-Built Survey <br /> � Final <br /> ❑ Other (s ecif ) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: 0 YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 07/01/2009 <br /> z:lforms\plan review checklist.docx <br />