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i <br /> REMARKS (in-house): <br /> Fees to be Charged YES NO <br /> Permit <br /> Plan Review �j <br /> State Surcharge . <br /> Investigation Fee �` <br /> SAC—Number of SAC Units `'"� <br /> Other(specify) <br /> Square Foota e $per Square Foota e <br /> Basement X = $ <br /> 15�Floor X = $ <br /> 2nd FI00� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ �1��I:=° <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> 0 Site � Plumbing � Grading / Filling � Well <br /> � Hardcover Removal 0 Mechanical � Fire 0 Electrical <br /> Footing � Septic � Water Connection <br /> � Poured Wall 0 Fireptace � Sewer Connection <br /> 0 Foundation Survey � Masonry 0 Lawn Irrigation <br /> 0 Radon Rock Bed � Mfg. � <br /> �Framing � Other(specify) <br /> � Insulation <br /> � As-Built Survey <br /> .O�Final <br /> 0 Wetland Buffer <br /> � Other (specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: ❑ YES ❑ NO New: 0 YES 0 NO <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />