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REMARKS (in-house): <br /> Fees to be Char ed YES ; NO <br /> PermiE ` <br /> Plan Review <br /> State Surcharge � <br /> investigation Fee �, <br /> SAC—Number of SAC �nits <br /> Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement X - $ <br /> 15t Floor � - $ <br /> i <br /> 2nd Floo� X - � <br /> Garage X ' $ <br /> � Estimated Construction Value: $ ��,t7�0 °� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site Plumbing � Grading/ Filling � Well <br /> 0 Hardcover Removal �echanical 0 Fire Electrical <br /> � Footing � Septic � Water Connection <br /> O Poured Wall � Fireplace � Sewer Connection <br /> � Foundation Survey Q Masonry � Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> �Framing 0 Other(specify) <br /> Insulation <br /> � As-Built Survey <br /> Final <br /> � Wetland Buffer <br /> � Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: � YES � NO New: O YES � NO <br /> OFFICIAL REMARKS -TO BE NOTEQ ON PERMIT AND INITIALLED <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br /> � <br />