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REMARKS (in-ho�ise): /v-C,C?05Ctrl V t <br /> - C 1 <br /> 04 t.evp_ . A.144. 4t,,? i-c9,..r.-t- lect-c-e.-E\---- <br /> -�p tNA.,b 1At vl tM :•1. — Ti .Z,• <br /> Fees to be Charged YES NO <br /> D Itiv Permit ,/r <br /> Plan Review r/ bila- <br /> State Surcharge U <br /> Investigation Fee <br /> SAC-Number of SAC Units <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> j al <br /> Estimated Construction Value: $ 6 0/C900 <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> O Site 0 Plumbing 0 Grading/ Filling 0 Well <br /> O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical <br /> $noting 0 Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace 0 Sewer Connection <br /> fillrtoundation Survey 0 Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed 0 Mfg. <br /> O Framing 0 Other(specify) <br /> O Insulation <br /> dAs-Built Survey <br /> „olerinal <br /> O Wetland Buffer <br /> O Other(specify) <br /> REMARKS (in-house):I, V 5; \_k , (Ai ) VN4 -)4 <br /> 2. si-5 i-e... ,re /,\,..rz �.. ., - rep) I V�o>°t '& 7/1 e1;441 Aff213iviSg <br /> .i--m li• Iceic-f <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: 0 YES 0 NO New: 0 YES 0 NO <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />