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REMARKS (in-house): <br /> Fees to be Charged YES NO <br /> Permit . <br /> Plan Review <br /> State Surcharge L./-r <br /> Investigation Fee <br /> SAC—Number of SAC Units. S p/ <br /> Other(specify) <br /> Square Footage $per Square Footage <br /> Basement X = $ <br /> 15t Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 'f0�,000 c'''-- <br /> Orono <br /> � <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> D Site 0 Plumbing D Grading / Filling Well <br /> D Hardcover Removal Mechanical D Fire Electrical <br /> Footing Jid' Septic D Water Connection <br /> Poured Wall 91 Fireplace D Sewer Connection <br /> Foundation Survey D Masonry 1'Lawn Irrigation <br /> L/Radon Rock Bed fir Mfg. <br /> y Framing D Other(specify) <br /> Insulation <br /> ,i,F <br /> As-Built Survey <br /> inal <br /> D Wetland Buffer <br /> D Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: D YES D NO New: D YES D NO <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> Cs Pootitii'l Gtoc '-if rpo lan/p - I,cec - ,as erh pum ia,eel-t- A2.04 <br /> A 2. 1 . estko6F /13.o d 0-0 kto+ clay - it s Inc L (",,t- -. <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />