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. ��� .sE '��� ��:t ��s� �+ i <br /> REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> � <br /> State Surcharge c/ <br /> Investigation Fee �✓ <br /> SAC-Number of SAC Units t/ <br /> Other(specify) !� <br /> S uare Foota e $per S uare Foota <br /> Basement 52 X �• 3 = � �,38.�Y4•5b <br /> � 15�Floor I bR � X 9S'73 - � t 2 Yg•� <br /> � 2"d Floor /9 d� X `�S•'�3 - � 1 $I �`g'1. 00 <br /> Garage �gb p X �ltl. � _ � 3Z 3Z�,�a <br /> Estimated Construction Value: $ S l�i 1 bK.�'0 <br /> Orono Inspections Required Work Requiring Separ e Permits Required State Permits <br /> � Site �Plumbing � G ding ! Filling Well <br /> � Hardcover Removal �Mechanical 0 Fi e �Electrical <br /> ,t7 Footing ,�Septic � W ter Connection <br /> �Poured Wall �Fireplace ❑ S wer Connection <br /> oundation Survey � Masonry � L wn Irrigation <br /> �Radon Rock Bed �3' Mfg. <br /> �Framing � Other(specify) <br /> �'Insulation <br /> �As-Built Survey <br /> �Final <br /> 0 Wetland Buffer <br /> � Other(specify) <br /> REMARKS (in-house): <br /> � <br /> q Other Review: Reviewed by: Dat Approved: <br /> � <br /> Access: Existing: � YES � NO Ne : � YES � NO <br /> OFFICIAL REMARKS-TO BE NO�ED ON PER T AND tNITIALL D <br /> ����� �� � � � � � � � � �'� � � �� � <br /> i - <br /> � � t <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />