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2012-01206 - new structure
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2789 Pheasant Road - 21-117-23-32-0005
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2012-01206 - new structure
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Last modified
8/22/2023 4:06:05 PM
Creation date
7/3/2018 11:41:39 AM
Metadata
Fields
Template:
x Address Old
House Number
2789
Street Name
Pheasant
Street Type
Road
Address
2789 Pheasant Road
Document Type
Permits/Inspections
PIN
2111723320005
Supplemental fields
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, <br /> Fees to be Charged YES NO <br /> Permit ,�- <br /> Plan Review <br /> ' State Surcharge ,/ ` <br /> Investigation 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 /> � <br /> ' Calculated By: <br /> Square Foota e $ per Square Foota e <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd FIOOr X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 1�500,000 °O <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site ,�Plumbing ❑ Grading / Filling � Well <br /> 0 Hardcover Removal �Mechanical � Fire �Electrical <br /> ,�'Footing 0 Septic �'Water Connection <br /> ,�Poured Wall ,�Fireplace �d'Sewer Connection <br /> �Foundation Survey � Masonry ,0'Lawn Irrigation <br /> �Radon Rock Bed .0�Mfg. <br /> ,� Framing � Other(specify) <br /> � Insulation <br /> ,�As-Built Survey <br /> ,�Final <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed 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 /> T�1 1"�%lX,c�ll�1�LS�' Y�S1�j'y2l��I�?� ���GGI!-�' ���l�lt-���'h'�!� <br /> (� ��lC!S�f1/-�G�el�tC�2o el�j�%IZ�G,�-c �{�F�/t�S'C�].L r,F- ����iLt Gi1�% l�' y��tt�c�v�r�l p�i J►� fO �';C� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />
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