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'���,�",��� ' � w �'�� t _����-�3�""`,�X�-x��g ��+� � �», '�" ''�'��'�`�'k,�+'�,'ti ' �` .e <br /> �i ��;� <br /> "``�x���h. �r»•,, �`t�''ay � > d i«?x *:3,�, � • +4 . .tk� .. ��.a ., ff'n9 „C^a:�:. '�' ' t .�. :s, <br /> .��!..m.*�,."� ��'.. �"' '��. . „ _ �,�'����� . . . . �� � . .. .� . -_. y � <br /> REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plart 12eview <br /> State Surcharge <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 /> 15'Floor X = $ <br /> � 2nd Floo� X - � <br /> � Garage X - � <br /> � � <br /> Estimated Construction Value: <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site 0 Plumbing 0 Grading/ Filling 0 Well <br /> ` � Hardcover Removal 0 Mechanical � Fire � Electrical <br /> �Footing 0 Septic � Water Connection <br /> � Poured Wall � Fireplace � Sewer Connection <br /> �: � Foundatior� S�ervey Q Masonry � Lawn Irrigation <br /> k' Q Radon Rock Bed 0 Mfg. <br /> 0 Framing � Other(specify) <br /> �:, Insulation <br /> � °�.As-Built Survey <br /> � �inal <br /> � � Wetland Buffer <br /> � �Other(specify) ���� . � <br /> � <br /> � <br /> � REMARKS (in-house): <br /> 6' <br /> � <br /> r <br /> � <br /> � Other Revievu: Reviewed by: Date Approved: <br /> � <br /> k <br /> �ccess: Existing: 0 YES 0 NO New: � YES � NO <br /> P- <br /> OFFiCIAL FtEN1ARKS -TO BE NOT ON PEf�NlIT AND INITIALLED <br /> ���Ql� � � ' �,�-���� �S.� <br /> � � i �� <br /> * <br /> ; <br /> � <br /> , <br /> � Updated: January 2013 <br /> � v:\forms�plan review checklist 2013.docx <br /> ( <br /> � <br /> ! <br />