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4 I <br /> REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Perm it <br /> Plan Review <br /> State Surcl�arge <br /> Investigation Fee rf <br /> SAC-IVumber of SAC Units �° <br /> Other(specify) �- <br /> Square Foota e $ er S uare Foota e <br /> Basement Z�c(,� X /� _ $ � � � <br /> 151 Floor J � J X ��.-� _ $ � � ,� <br /> 2�d F�oo� z.3 z x `�,� _ $ �3G- `��I . � <br /> Garage ��1 V X ��� ._ - - $ 3�✓ CQ.7�< � <br /> ' fl � � • 7 . � '_ j � �-�� •l <br /> Estimated Construction Value: $ ': �J ��,y�� <br /> Orono Inspections Required Work Requiring Sepai�at�'errt�its I�equired State Permits <br /> 0 Site Plumbing 0 Grading/ Filling Well <br /> Silt Fence/ Erosion Control Mechanical �Fire Electrical <br /> � Hardcover Removal �Septic � Water Connection <br /> �Footing � Fireplace � Sewer Connection <br /> Poured Wall � Masonry Lawn Irrigation <br /> �Foundation Survey �Mfg. �Landscaping <br /> �Foundation Waterproofing � Other(specify) <br /> Radon Rock Bed <br /> Framing <br /> Insulation <br /> As-�uilt Survey <br /> Final <br /> ' �Other (specify) �'�"�i� <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: �ate Approded: <br /> Access: Existing: � YES � NO New: 0 YES ❑ NO <br /> OFFICIAL REMA�KS -TO BE NOTED OIV PERMIT�4ND It�ITIALLED <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � � � � <br />