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- Fees to be Charged YES NO <br /> ,Permit;� .� � ; �/ . <br /> Plan Review i/ <br /> State"Su rcharge ` <br /> Investigation Fee � � <br /> SAC :';�Number-of:SAC:Uni#s ��'' N <br /> � (,�+ s �- .1'1a� ►:�'" . ; ' <br /> Sewer Connection f <br /> 1Nater;,Connection <br /> Park Fee <br /> `Site�lnspection ... ' <br /> Other (specify) �- <br /> `iMiscellaneouswFees> _ �� <br /> Calculated By: <br /> Square Foota e $ per Square Foota e <br /> Basement I X = $ <br /> 15t Floor X = $ <br /> 2nd FIOo� X = $ <br /> Garage X = $ <br />. Estimated Construction Value: $ ���,p�n°6 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site �Plumbing ❑ Grading / Filfing �Well <br /> ❑ Hardcover Removal ,0'Mechanical ❑ Fire �Electrical � <br /> �Footing ❑ Septic ❑ Water Connection <br /> �Poured Wall ,8'Fireplace ,�Sewer Connection <br /> Foundation Survey �'Masonry ,0'Lawn Irrigation <br /> �Radon Rock Bed �Mfg. <br /> �Framing ❑ Other (specify) <br /> nsulation <br /> As-Built Survey <br /> Final <br /> Other(specify) ��i n,a�j <br /> � �l-Grvv ` I pvl ��ju-(�.t- <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERMIT) <br /> �o' �^�+��-°Y' G�0�i f1 p✓tS ,_�- �, �C�Q t�e�rC5 � I D�000 c�G►�o w <br /> � � � <br /> �°�` �(��� 5�-�=�n� �� ';�f;;ll✓►� � f�UU � �/1�� �T't �i_�'�' -� <br /> � <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />