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Fees to be Char ed YES NO � � <br /> '�fir,�Af���� i��itf 4 �. _ �,i r <br /> Plan Review <br /> °�xate'�S�irc'harge: . _ - .. :.. _ <br /> _ + <br /> , _.�� ,_ : . .. . ,. . ,. , s . . <br /> Investigation Fee <br /> ���'��rrbe��f�AC:�in�ts�t k ., • . , � <br /> �> ', ; .,�"�a Y�.,1 „�.,,z,; T�: <br /> � „ , .. _ . . � _ _ . <br /> Sewer Connection <br /> ����m.',�r������r1'��� r i' 'M* 1: ik�>'. � �' r ,� � • .�',� -::{ <br /> .m.+.. .n x.. a.. .. . . ..., .n <br /> l�-9-. ax�`i%� r �i .`/ f '!?:idcC; >.+�: <br /> Park Fee <br /> �.�1�'Q`��5,'��,�140Gi�'�.�,,a y': ° �_� ' �.�;:�`�"��3 ;,�f�s , �',��� r ;�� ��: <br /> . <br /> .�_ . , ,... .. . . . ., f .: , <br /> _ . . . . . ._ _.. _ . ,.: � -..-- <br /> Other(specify) <br /> �u:� y <br /> ����i���.�'�wrlFi��e�N�}�l�^'� tix.*� iy y�.r-�: a ;ti;y1 Y +g�� yy :�i;..,�R,f :�} .., <br /> . r.va�. .ma �! v_...�@ta Ad.3�� .��A'F?�i�a' r.��� ��;��r"a � .�t`'��1 r� <br /> � ,-�, � Si ;ro?'' ,�'A`�('�,,,����p <br /> Calculated By: <br /> S uare Foota e $ er S uare Foota e <br /> Basement X - $ <br /> 1�`Floor X - $ <br /> 2nd FIOo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ i� O d(� °= <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site 0 Plumbing � Grading/Filling 0 Well <br /> � Hardcover Removal � Mechanical � Fire 0 Electrical <br /> � Footing 0 Septic 0 Water Connection <br /> � Poured Wall 0 Fireplace 0 Sewer Connection <br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> � Framing 0 Other(specify) <br /> 0 Insulation <br /> � s-Built Survey <br /> inal <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: � YES 0 NO New: � YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />