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REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Permit � <br /> Rlan Review �� <br /> State 5urcharge � <br /> � Investigation Fee <br /> � <br /> ; <br /> SAC—Number of SAG Units <br /> F Other(specify) <br /> $� S uare Foota e $ er S uare Foota e <br /> Basement X ' $ <br /> 151 Floor X - $ <br /> 2nd Floo� X - � <br /> Garage X - $ <br /> Estimated Construction Value: $ ��Z�a � � Lf� <br /> Orono Inspections Requirec! Work Requiring Separate Permits ftequired State Permits <br /> i- 0 Site � Plumbing � Grading/ Filling 0 Well <br /> �' � Hardcover Removal 0 Mechanical � Fire � Electrical <br /> � Footing 0 Septic 0 Water Connection <br /> � Poured Wall 0 Fireplace 0 Sewer Connection <br /> 0 Foundation Survey 0 Masonry � Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> � Framing 0 Other(specify) <br /> � Insulation <br /> Rs-Built Survey �-1 <br /> � <br /> 0 Final �'�,t/'i�C�"� <br /> 0 Wetland Buffer <br /> 0 Other(specify) <br /> � REMARKS (in-house): <br /> Other Rediewr: Reviewed by: Date Approded: <br /> � Access: Existing: � YES Q NO New: 0 YES 0 NO <br /> OFFICi/�1L REMARFCS -TO �E NOTED QN PERMIT AND INITIALLED <br /> ��' �'�ld.��� S l�(�L��� � � c� N IY"'�'��!�£°�f LG't��� �'���L�.�:✓�i cl' (;7d"/L}a0 �-�: (�J C�' t�e-�.� <br /> � � � ! "�� <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />