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REMARKS (in-house): <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 /> Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1S�Floor X = � <br /> 2nd Floo� X = $ <br /> , Garage X = $ <br /> Estimated Construction Value: $ � 0 0,��G °s <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site �lumbing 0 Grading / Filling � Well <br /> � Hardcover Removal Mechanical � Fire ,0"`Electrical <br /> Footing 0 Septic � Water Connection <br /> � Poured Wall ❑ Fireplace 0 Sewer Connection <br /> � Foundation Survey 0 Masonry � Lawn Irrigation <br /> 0 Radon Rock Bed 0 Mfg. <br /> Framing 0 Other(specify) <br /> �nsulation <br /> � As-Built Survey <br /> � Final <br /> 0 Wetland Buffer <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: 0 YES � NO New: 0 YES � NO <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />