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l�ER'fARKS (in-house): " <br /> Fees to be Char ed. 1lES �'O <br /> Permit <br /> Plan'Revl�w <br /> r _ <br /> St�t+a Surcharg� . :. <br /> --�-------- <br /> _�._�_ _._.__��- -- <br /> --=---� ----- - nves i�ation Fee <br /> SAG��lumber af S�1G Units � '. - , ; , � . <br /> ' <br /> Othe�(specify) <br /> S uare Foota e � r S uare Foota e <br /> Basement X = $ <br /> � ;� � � �_ $:� ' � � � <br /> 18`Floor X <br /> 2nd Floor X _ $ <br /> Garage X - $ : <br /> Es#imated Construction Yalue: ��.''�"T��� <br /> Orono Inspections Required Work Requ�rm Sep�rat+e Perm�ts �Rec{uired State:Per�nits <br /> fl Site . . G Plumbing � Gtading-/filGng 0 LVell <br /> E3 Hardcover Removal O Mechanica! C� Fire C7 Electrical <br /> p!' Footing G Septic � Vllater Cannection <br /> � Poured 1AFa11 G Fireplace Q. Sewer Gonnectior�-� <br /> � Mason 5 ; #3 tawn�r�igation _ <br /> � Faut�da#ion Sunrey. - rY <br /> fl Radfln Rock B�d` G Mfg. <br /> � jYFram�ng; , t7 Qther(specify) , _ <br /> ':`G insuiat�or� , ;;, <br /> , <br /> :� A�-8u�1t S.urvey _ � <br /> �f�nal - <br /> �i.7 W,etiand Bu#f�r - ' � ' ' <br /> :G Other(specafy)' <br /> : , , . <br /> , _ . <br /> RE11fiARKS{in house): - � <br /> _ ,, :: ., . . <br /> _ ' ..., . ..: ' " ..�"� .:_��. :. . ... .�. .. ' . ... k : .. .. � .,._ ' ,.. . " ." <br /> � ;� .. _. . . -�� . . i . �. .... . � �.., -. <br /> � Other R�e�riew; Reviewed by:;,�,_ flate ApprovEd:� < <br /> . _ , e� � <br /> ,, � � . •. ' , <br /> Access: E�cisting: L7 '�'ES LI :IJO New: � YES ��NO <br /> � �' <br /> fl��IC1AL.R�NfARKS=T0 BE NO'T�D ON PERM17 AN�INiT��►l.LED <br /> . i . . . . - . � . . _'�� � � : �. �-.� t. .. - � �� . <br /> Updated: January 2013 <br /> v:\forms\plan review chedcHst 2013.docx . <br />