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REQ £RKS (in-house): <br /> Fees to he Clued Y . NO <br /> Plan Review <br /> state Surcharge <br /> Investigation Fee <br /> SAC-idumeber of SAC Units <br /> Other(specify) <br /> Square Footage S per Square Footage <br /> • <br /> Basement X - $ <br /> 1°t Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: i____ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> Cl Site rS.Plumbing 13 Grading/Filling D Well <br /> ® Hardcover Removal Mechanical ® FireElectrical <br /> ooting O Septic 13 Water Connection <br /> .1.-.Poured Wall Z Fireplace CI Sewer Connection <br /> Foundation Survey 12 Masonry Lawn Irrigation <br /> adon Rock Bed 12 Mfg. <br /> _Framing 13 Other(specify) <br /> Insulation <br /> y_As-Built Survey <br /> AFinal <br /> Wetland Buffer <br /> Cal Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: EY YES i s NO New: I5 YES D NO <br /> OFFICIAL REMARKS -TO BE F CTED ON PERMIT AND INITIALLED <br /> r _ t <br /> 4Y i 'r r, ` j.e"1.0.,- s C/;s y r J ", ;u 4Y, fl .ri �N?:31 wt�l �1✓ <br /> � <br /> i' 0 - -64 ''Jt�:.V. % ;// 11 17cJ / C.i VL,/Ac e Ze <br /> exi " d !�^l( V4,-44 <br /> i! / 4 .- <br /> J4,3-e: <br /> ire efe. 4, c <br /> , <br /> Updated January 2013 <br /> • <br /> v7\forms\plan review checklist 2013 docx <br />