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REMARKS (in-house): <br /> Fees to be Charged YES NO <br /> Penn <br /> Plan Review <br /> State Surcharge 1.---- <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> Square Footage $per Square Footage <br /> Basement X $ <br /> 1st Floor X = $ <br /> 2"d Floor X = $ <br /> Garage X = <br /> $ <br /> Estimated Construction Value: $ (i� ®v a <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> O Site 0 Plumbing 0 Grading/Filling 0 Well <br /> O Hardcover Removal0 Mechanical 0 Fire Electrical <br /> O Footing Septic 0 Water Connection <br /> O Poured Wall 0 Fireplace 0 Sewer Connection <br /> O Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> O Radon Rock Bed 0 Mfg. <br /> O Framing 0 Other(specify) <br /> 0.nsulation <br /> ',Er/Xs-Built Survey <br /> Final <br /> O Wetland Buffer <br /> O Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: 0 YES 0 NO New: I] 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 />