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` REMARKS (in-house): <br /> Fees to be Char ed 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 /> § 1St Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site � Plumbing 0 Grading/ Filling � Well <br /> 0 Silt Fence/ Erosion Control 0 Mechanical � Fire Electrical <br /> � Hardcover Removal � Septic ❑ Water Connection <br /> 0 Footing Fireplace � Sewer Connection <br /> Q Poured Wall � Masonry ❑ Lawn Irrigation <br /> � Foundation Survey �Mfg. � Landscaping <br /> 0 Foundation Waterproofing Other(specify) <br /> Q Radon Rock Bed <br /> Framing <br /> � Insulation <br /> � As-Built Survey <br /> "� Final <br /> � Other(specify) <br /> REMARKS (in-house): <br /> r <br /> Qther Review: Reviewed by: Date Approved: <br /> Access: Existing: ❑ YES � NO New: � YES 0 NO <br /> - OFFIC!/�L REMARKS -TO BE f�OTED Ot� PERMIT'ANQ INITIALLE� <br /> Updated: January 2015 <br /> � z:\forms\plan review checklist 2015.docx <br />