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„F�ai� wc�;:� .,i*. i�f�<�rv, _ <br /> 11 REMARKS (in-house): <br /> Fees to be Char ed YES NO <br /> Permit <br /> � Plan Review <br /> State Surcharge <br /> -- - --- _ _ - _ _ __ _ __ _ - _ _ _ - - --- --- - - - <br /> Investig�ti�r� ee _ - ___ F <br /> SAC-Number of SAC Units <br /> Qth�c��p��if�� '; <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: $ �m���� <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ` 0 Site Piumbing � Grading/ Filling 0 Well <br /> . 0 Hardcover Removal � Mechanical 0 Fire lectrical <br /> R 0 Footing � Septic O Water Connection <br /> 0 Poured Wall 0 Fireplace � Sewer Connection <br /> 0 Foundation Survey � Masonry � Lawn Irrigation <br /> 0 Radon Rock Bed 0 Mfg. <br /> aming 0 Other(specify) <br /> Insulation <br /> � -Built Survey <br /> Final <br /> � Wetland Buffer <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: � YES � NO New: 0 YES � NO <br /> ' OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> } <br /> �: <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br /> ��, <br />