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Fees to be Char ed YES NO ,
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<br /> Plan Review �
<br /> `State�urcfiatge x . .,�
<br /> Investigation Fee
<br /> �:;5�1����rrbe�����►C�nits� "� � �� ' ���
<br /> P^F t� h.� C.."�F 1 ���.� f.. _
<br /> .... e . .� ... ... . ..: . .... .� . e..f �. ..i . ..... � a• ..�i. r.� ':
<br /> Sewer Connection
<br /> d�l�������.ri��� 9 � _ ''+6 �'� 'I � � ;,f' a � v rt.1 i�_ ��t
<br /> rR�. !r*i'.- % y 4t+1� +Y�`
<br /> Park Fee
<br /> `r�1��iIS,'p�.E.�'Ct�IDII�^,�"t��� ,,. y iAxf�,� , .,� �.�"��r `"�;r�, .;��'` � � ��4 �;�,�
<br /> .4;� ��. ,�.
<br /> �n , . .�... .x: . �,, . ,. . ,. ; _ . . .:: :.
<br /> Other(specify)
<br /> ���••,•�_. e ��y�,SHn�.p..sw4l+rs,�"��;rp�.�,tk 'S hS,,,�q� a$+c 1 yi y� x'.: �f�Y,a`% a �. � �Y ...
<br /> r.s,w.. �M�B'X�. ;r�...�a.�.,.,�`,k�si.4{+......,,�4�i n,_w`.f3�c�k?����<.RL�`�tStT r.�'i'3�4�u �;::� .,a ic�_r,�w n 1:���r, ��:
<br /> Calculated By:
<br /> S uare Foota e $ er S uare Foota e
<br /> Basement X = $
<br /> 1� Floor X = �
<br /> 2nd FlOot' X = $
<br /> Garage X = $
<br /> vc:
<br /> Estimated Construction Value: $ !, °� �v
<br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits
<br /> � Site � Plumbing � Grading/Filling � Well
<br /> � Hardcover Removal � Mechanical 0 Fire �Electrical
<br /> � Footing 0 Septic 0 Water Connection
<br /> 0 Poured Wall � Fireplace � Sewer Connection
<br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation
<br /> � Radon Rock Bed � Mfg.
<br /> ,�' Framing � Other(specify)
<br /> �Insulation
<br /> 0 As-Built Survey
<br /> �Final
<br /> � Other(specify)
<br /> REMARKS (in-house):
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing: � YES � 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
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