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s <br /> Fees to be Charged YES NO . <br /> -Pecmit _ � ._.���� � , 1;; . <br /> , , <br /> , .,,;, � s. <br /> Plan Review � <br /> .Sfat@`�U�CflalCg@ I r ��vw.K tir�rA�,��' i'i� <br /> Investigation Fee <br /> -"SAC �f��rt�ber=of.'S`AC�U�its ���,R�,� ��„!a �, x I � , <br /> r,. <br /> Sewer Connection <br /> :�llla�e����n�:c�imr���; r � � - , ,µ..,,,� 3 ls k <br /> _�,..,��. �-�` .����,�+�,��e;���.���s��:'��; <br /> Park Fee <br /> �� 1 9 __ � .)..... ^ . . . -.� �_:'? � ji..n <br /> �.. <br /> n._w.... • • . • : . <br /> � , F.N].i... . ar...r;,T'i.�ri „9f�t+^���.jeJ.�+ �i �' .... Yh. ��...,. .nt. �.. <br /> , 1����t .@��1011& R <br /> r. <br /> . . . ,_ .._, ...� .;; v _. . ...z .�.� <br /> Other(specify) <br /> ;�IlYlisc�7lara��.�s��ee�s`� �r:� �'� '���x�.�wF`�'�,� ��,_� � <br /> .�r.< _�-' � . �. � Fp,�..,,_,:.r'k w b.�.�, S ,�'v1 'Srt14. �3? <br /> Calcutated By: <br /> Square Foota e $ per Square Foota e <br /> Basement X = � <br /> 15t Floor X = $ <br /> 2nd FIOOr X = � <br /> Garage X = $ <br /> Estimated Construction Value: $ �, 5`�� �� <br /> Orono fnspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site � Plumbing ❑ Grading ! Filling ❑ Well <br /> � Hardcover Removal 0 Mechanical ❑ Fire ❑ Electrical <br /> Footing ❑ Septic 0 Water Connection <br /> ❑ Poured Wall 0 Fireplace ❑ Sewer Connection <br /> ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation <br /> 0 Radon Rock Bed ❑ Mfg. <br /> �'Framing � Other(specify) <br /> 0 Insulation <br /> � As-Built Survey <br /> Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> . <br /> Other Re iew: Revie ed by: Date Approved: <br /> Access:Existing: 0 YES 0 NO New: ❑ YES � NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � X�S i�N�, S7—'D o l � �( � � ���ti1 C�VV��au� — <br /> `� <-r-il o D c�;-� v�o � <br /> �� cs� L-( `x y , <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />