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2012-00671 - addn/remodel/repair
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1376 Park Drive - 07-117-23-41-0096
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2012-00671 - addn/remodel/repair
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Last modified
8/22/2023 5:37:58 PM
Creation date
6/7/2018 12:26:05 PM
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Template:
x Address Old
House Number
1376
Street Name
Park
Street Type
Drive
Address
1376 Park Dr
Document Type
Permits/Inspections
PIN
0711723410096
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Fees to be Charged YES NO <br /> � <br /> Permit <br /> � Plan Review ;/ <br /> State Surcharge �/ <br /> Investi�ation Fee <br /> SAC— Number of SAC Units <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 X = $ <br /> 15` Floor X = $ <br /> 2nd FIoOI' X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ (s, U �'G `` <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing 0 Grading / Filling ❑ Well <br /> � Hardcover Removal 0 Mechanical 0 Fire ❑ Electrical <br /> ,�" Footing 0 Septic � Water Connection <br /> � Poured Wall 0 Fireplace � Sewer Connection <br /> � Foundation Survey � Masonry 0 Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> �'Framing 0 Other(specify) <br /> 0 Insulation <br /> 0 As-Built Survey <br /> ,8( Final <br /> � <br /> � Other(specify) <br /> REMARKS (in-house): <br /> � <br /> � <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES ❑ NO New: � YES � 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 />
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