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,z� a�r:� : �.� �..r. ,� :�. ��' t.:` �+s°`, °'t �:r�;M^�"�'X.�a' �*i:� .� °�a' � ��rs��'�-�,r�,� ��,r.-�"�,�x' _ �'x' �`,�'��s±f r'��v�'r t %,�,r.y.; <br /> �a"'�C"g 1a���l '4.f' �` e't . � ,.rje.' � t ✓ <br /> zt z�'�r��"yx'�'��", `xx9^-,'.�`" ,+�` r�'�;�r.�t�".��^��gfi ,rzL�'s;t-+A.i.,i,!y�e5:� „?e�'�.���r���.e�Y�`r�'�,'£�'_ ^r,�.=.��,^°'..�s"' �.,�`.��.,:`�. ����'����a��,.`��'c :.:�:+��.s�.�+'� _ _ . . <br /> REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Permit <br /> �� Plan Review <br /> State Surcharge �� <br /> -__ -- - ----- --- _ __ <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 /> 1 S`Floor X ' � <br /> 2nd Floo� X ` $ <br /> Garage X - $ <br /> Estimated Construction Value: $ � �y D���� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site �Plumbing 0 Grading/ Filling � Well <br /> 0 Hardcover Removal �Mechanical � Fire }� Electrical <br /> � Footing 0 Septic � Water Connection <br /> 0 Poured Wall � Fireplace 0 Sewer Connection <br /> � Foundation Survey � Masonry � Lawn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> �'Framing 0 Other(specify) <br /> �nsulation <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: � YES � NO <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> t; <br /> E <br /> � Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />