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REMARKS (in-house): ' <br /> Fees to be Charged YES NO <br /> Permit <br /> Plan Review L,,� <br /> State Surcharge t/` <br /> Investigation Fee i <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> Square Foota e $ per S uare Foota e <br /> Basement X = $ <br /> 15t Floor X = $ <br /> 2nd FIoO� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ l c�. Uo o `Y <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> � Site � Plumbing 0 Grading / Filling 0 Well <br /> � Hardcover Removal � Mechanical 0 Fire Electrical <br /> Footing � Septic � Water Connection <br /> � Poured Wall � Fireplace 0 Sewer Connection <br /> 0 Foundation Survey 0 Masonry � Lawn Irrigation <br /> 0 Radon Rock Bed � Mfg. <br /> 0 Framing � Other(specify) <br /> 0 Insulation <br /> As-Built Survey <br /> �nal <br /> � Wetland Buffer <br /> 0 Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access: Existing: 0 YES 0 NO New: 0 YES � NO <br /> OFFICIAL REMARKS -TO BE �o TED ON PER T AND INITIALLED <br /> �r1 �b I( ot C s n r <br /> l�C C�Ic��la�t ow� wu,�c- I�. Su�lornt}.� �-- ar,»ravcd. <br /> � <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />