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� � �,. , � ,� <br /> � . <br /> , <br /> . ������� ��� } �:���„ xe.,- M ,�.���; ,� <br /> ° REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> i Permit � <br /> Plan Review ;r� <br /> State Surcharge : <br /> -- ------ ----- <br /> Investigation-Fee - - <br /> -- -- -- -__ __ . _ <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 Floo� X = $ <br /> Garage X = � <br /> Estimated Construction Value: $ � ?���'`� "i'�" <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing � Grading/ Filling � Well <br /> 0 Hardcover Removal � Mechanical � Fire 0 Electrical <br /> 0 Footing � Septic � Water Connection <br /> ` � Poured Wall � Fireplace 0 Sewer Connection <br /> � Foundation Survey � Masonry 0 Lav�rn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> � Framing � Other(specify) <br /> � 0 Insulation <br /> 0 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: � YES ❑ NO <br /> OFFICIAL REAdIARKS -TO BE NOTED ON PERMIT AIVD INITIALLED <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />