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�k,'Tw".,�;s .''' "". `..Tn.. .„P z�. ,....... �'d''`rsT '�Pr���Y^ <�3'Y y..'ls ' .s9�"`.� ^L." _ <br /> �� � �. <br /> ' REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee � <br /> SAC—Number af SAC Units <br /> Other(specify} <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15`Floor X = $ <br /> 2nd FI00(' X = $ <br /> � Garage X = $ <br /> Estimated Construction Value: $ (���,�����r 7`� <br /> 3` <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing 0 Grading/ Filling � Well <br /> � Hardcover Removal � Mechanical 0 Fire � Electrical <br /> � Footing � Septic � Water Connection <br /> t � Poured Wall � Fireplace 0 Sewer Connection <br /> 0 Foundation Survey 0 Masonry � Lawn Irrigation <br /> � Radon Rock Bed � Mfg. <br /> ;� -�-Framing � Other(specify) <br /> � Insulation <br /> � As-Built Survey <br /> Final <br /> � Wetland Buffer <br /> � Other(specify) <br /> REMARKS (in-house): <br /> �� <br /> Other Review: Reviewed by: Date Approved: <br /> t <br /> ,.. <br /> Access: Existing: � YES 0 NO New: ❑ YES � NO <br /> � <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />