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, . <br /> Fees to be Char ed YES 'NO ' <br /> _ ._. .. . w���� ��,k 'r�.�k '�,"w�-5�* v,�.- . <br /> ,�;r� ;n������:,'4`��e.��;�sw .��T <br /> t � <br /> P{an Review �/^ t <br /> - :�» ��.� ,h N� ��. <br /> � �� :� ,.�ir_ y'��`aVi���`� ,�. <br /> lnvestigation Fee <br /> _. , _ <br /> . � , v - � <br /> � <br /> , :;�, . <br /> � �.u>:,,.��` <br /> �,,., , _-.. -;.� ,. •..w ,.�- . <br /> Sewer Connection � <br /> ... -� . � . � �. � :. , . ., . <br /> �. .. _ t .� <br /> Park Fee <br /> Other(specify) ._ . _ � . . . _: _ <br /> _ . .. _ <br /> Calculated By: <br /> S uare Foota e $ er S uare foota e <br /> Basement . X = $ <br /> '�sc Floor X = � <br /> :2nd Floor ; X _ � <br /> 'Garage X = � <br /> Estimatetl �onstruction Value: $ 3 C�,000 d� <br /> Orono inspections Required !lN�rk f2equiring Separate Permits Required S#ate Pertnits <br /> 0 Site �Plumbing � Grading/Filiing ; � Well <br /> � Hardcover Removai � 'Mechanical O Fire ` �Eiectrical ' <br /> � Footing � Septic D 1Nater Connection <br /> � Poured Wall �Fireplace G Sewer Connsction <br /> � fountlation Survey � Masonry � Lawn Jrrigation <br /> � 'Radon Rock 8ed �Mfg. <br /> D framing � Other(specify) <br /> � Insulation <br /> �-Built'Survey <br /> Final <br /> . � Other(specify) <br /> REMARKS (in-house); <br /> Oti�er Re�riew: Reviewed by: Date Qpproved: <br /> Access:Existing: G YES � NO New: � YES � NO <br /> REMARK� (TO BE NOTED ON PERMIT AND 1NITIALLED BY PERSON'PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z;\formslplan review chedcl�t.docx <br />