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_�..,� x,_...6„- -— <br /> �.:_,���..:,..--��--�- _ .., --�.,------ . �.,.,--�--� ,_ ..�..a...�,�.,�,,.�, . . .. . ,,.. <br /> � <br /> s REMARKS (in-house): <br /> ; <br /> Fees to be Char ed YES NO <br /> Perm it <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 /> 15�Floor X - $ <br /> a 2nd FIOOr X = � <br /> Garage X - $ <br /> Estimated Construction Vaiue: � �"` �/ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> +� � Site � Plumbing a Grading/ Filling � Well <br /> 0 Silt Fence/ Erosion Control 0 Mechanical � Fire � Electrical <br /> � Hardcover Removal � Septic � Water Connection <br /> Footing 0 Fireplace 0 Sewer Connection <br /> 0 Poured Wall � Masonry � Lawn Irrigation <br /> � Faundation Survey O Mfg. � Landscaping <br /> . 0 Foundation Waterproofing 0 Other(specify) <br /> � Radon Rock Bed <br /> Framing <br /> � nsulation <br /> As-Built Survey <br /> Final <br /> ❑ Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: ❑ YES Q NO New: � YES 0 NO <br /> OFFICIAL REMARKS -TO BE OTED ON PERMIT AND INITIALLED <br /> 1':: .� B a p�( � {�'� 0 Yl � _ S(�i`t/ <br /> , <br /> ar�� f����`E� � ��c�.c cu��o� �,�� �ubm� �-at�rov�°. <br /> � <br /> �: <br /> � <br /> � <br /> � <br /> a Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � <br /> � <br /> �._.:.. , x, „�, ,,.- __:_ . _ _ _ <br /> � i � � ,R .: y _ ..:,� _ .. �, , ..p. <br /> , ,. <br /> .,,, .. <br /> . � � . . .-.. ..._.� . ,.:: Y riT�' � r=� :�e ,�..M1 . <br /> � , iP v �;fna W3 �,{a'(u . .. . <br />