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Fees to be Charged YES NO <br /> Permit ,r , i/' <br /> Plan Review 1/' <br /> ='State'Surcharge ,r,/ <br /> Investigation Fee <br /> 3 4C +JnriibeX .S ►C=Units .; _ <br /> Sewer Connection <br /> Illater Connection <br /> Park Fee <br /> =5>Ite�lnpect�on.,, . L - <br /> Other(specify) <br /> w; llsce'11a, eoas,4ees t ;;, ,; <br /> Calculated By: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 161 Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> cxo <br /> Estimated Construction Value: $ 30,000 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site ' Plumbing 0 Grading / Filling 0 Well <br /> O Hardcover Removal Mechanical 0 Fire fr 'Electrical <br /> O Footing 0 Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace 0 Sewer Connection <br /> O Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> O Radon Rock Bed 0 Mfg. <br /> %Framing 0 Other(specify) <br /> 'Insulation <br /> O As-Built Survey <br /> 7Final <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 /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />