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Fees to be Char ed YES iV0
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<br /> Plan Review
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<br /> Investigation Fee
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<br /> Sewer Connection
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<br /> `Park Fee
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<br /> Other(specify)
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<br /> Calculated By:
<br /> S uareFoota e $ er S uare Foota e
<br /> Basement X = $
<br /> 1�Floor X = $
<br /> 2nd Floo� ' X = $
<br /> Garage X = $
<br /> Estimated Gonstruction Value: $ '�,t�00 ��
<br /> Orono inspec#ions Required `llUork Requiring Separate Permits Required State PErmits
<br /> O Site � Ptumbing � Grading/Fiiling � Weli
<br /> � Hardcover Remo�al � Mechanical 0 Fire �Electricai
<br /> _ � Foo#ing O Septic n Water Cflnnection
<br /> � Poured Wall G Fireplace � Sewer Connection
<br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation
<br /> O Radon Rock Bed � Mfg.
<br /> raming 0 Other(specify)
<br /> Insulation
<br /> G As-Built Survey
<br /> �inal
<br /> � Other(specify)
<br /> REMARKS(in-house):
<br /> Other Review; Reviewgd by: Date Approved:
<br /> Access:Existing: � YES � NO New: � YES � NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND 1NITIALLED BY PERSON PULLING PERMIT)
<br /> Updated: 09/11/2009
<br /> z:lformslplan review chedclist.docx
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