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� <br /> � . <br /> REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Perntit <br /> Plan Rediev�e <br /> Stat�Surcharge <br /> Investigation Fee s� <br /> SAC—Number of SAC Un3ts �" <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> -` 1 Sc Floor X = $ <br /> Znd FloOr X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ �,CJC?�� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � <br /> � Site � Plumbing � Grading/ Filling � Well <br /> 0 Hardcover Removal 0 Mechanical � Fire Electrical <br /> � �Footing � Septic � Water Connection <br /> �Poured Wall � Fireplace � Sewer Connection <br /> � Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> � Radon Rock Bed 0 Mfg. <br /> � Framing 0 Other(specify) <br /> 0 Insulation <br /> 0 As-Built Survey <br /> �Final <br /> & 0 Wetland Buffer <br /> 0 Other(specify) <br /> REMRRKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> � <br /> Access: Existing: 0 YES � NO New: 0 YES 0 NO <br /> �; FFICIAL REMARKS -TO B� NOTED ON PERMIT AND INITIALLED , <br /> ;' C�.�- ���r f��i�s�. C�? .�'r�'� '�f{�.� <br /> �-- �E, ` � ' . <br /> � '���.. �l�W �r` ��t � �'1P�/t�t� �- C��(��-�� <br /> ����.`�-t'���x�i��. �t�• - t <br /> Update : ua`�y�13 � (�d� <br /> v:\forms�plan review checklist 2013.docx �" <br /> �',.�' � '�i (��1d� W��� � ��t` 11�O E�a�1�Ld f'l'�'F'�G`�... �,!� '��°'� lldl� � �. <br />