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u �, _ ��r ._ . �_ ,_ ._ ..._.�. . . .__ .. ,...a_ � . �,. . _ ,. � � _ _.... <br /> �, .,_.� ..,. ,. ,. _ , ., , , . : .._ .v.., .,._M .F ..�._, <br /> REMARKS (in-house): <br /> Y" <br /> Fees to be Char ed YES NO <br /> Permit �� <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee e� <br /> SAC-Number of SAC Un�ts �,k s z--7 -� <br /> Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement X � $ <br /> 1 St Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X - $ <br /> Estimated Construction Value: $ `��,�,�,�l�� �'� <br /> ^" Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site Plumbing � Grading/Filling �Well <br /> � Hardcover Removal �Mechanical 0 Fire �Electrical <br /> �Footing 0 Septic 0 Water Connection <br /> . �'Poured Wall �Fireplace �ewer Connection <br /> Foundation Survey 0 Masonry �'Lawn Irrigation <br /> Radon Rock Bed �`Mfg. - <br /> Framing � Other(specify) <br /> Ja'Insulation <br /> ,�`pas-Built Survey <br /> �Final <br /> � Wetland Buffer <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> �ccess: Existing: � YES � NO New: � YES 0 NO <br /> FFICIAL REMARKS - O B NOTED OI� PERMIT AND INITIALLED <br /> �'�� � � <br /> ������ ����������� <br /> Upda4ed: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br /> C� • <br />