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Fees to be Charged YES NO <br /> Permit r/ <br /> Plan Review !� <br /> State Surcharge ./ <br /> Investigation Fee <br /> SAC—Number of SAC Units Z �/ <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Footage $per Square Footage <br /> Basement 810 x = $ 13,;1.5 <br /> 1st Floor et, Io X • 907.23 = $ 13,066.3 <br /> 2"d Floor 9'1'1 X s `-'. 1;0.23 = $ `$g . t ie-1 <br /> Garage `-44,2 X ge.O° = $ I'1 ,Sell .5% <br /> Estimated Construction Value: $ I`12, 2%S.`8 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> D Site 'lumbing D Grading I Filling D)Nell <br /> D Hardcover Removal Mechanical 0 Fire ,ll,Electrical <br /> ,@Footing 0 Septic %Water Connection <br /> poured Wall Fireplace )Sewer Connection <br /> Foundation Survey Oasonry Lawn Irrigation <br /> eleRadon Rock Bed prMfg. <br /> Framing 0 Other(specify) <br /> ,insulation <br /> As-Built Survey <br /> /134inal <br /> O Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: 0 YES 0 NO <br /> REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> f'eziva r /5,SI-tab P PIS 62.3-7 S MA . /e.(2..X ) iJ,t u,i 'm 25 ©t1 . <br /> Updated. 09/11/2009 <br /> zAforms\plan review checklist.docx <br />