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. Fees to be Char ed YES NO <br /> Permit V' <br /> Plan Review V <br /> State Surcharge (/` <br /> Investigation Fee <br /> SAC-Number of SAC Units �/' <br /> Other(specify) (� <br /> S uare Foota e $ er S uare Foota e <br /> Basement J Z� x ��. Z = � f Z zz .z�- <br /> �St F�oo� �-z / � Z " 3 x l�"y.z = � �-f 7 ��. <br /> S �.��C�v� �. X $ • 7 C� _ � z Z 4(e ,Z��f— <br /> Garage ¢ � � � � X - $ �� 7� •�� <br /> � �✓^ <br /> Es�imated Construction Value: • <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control �ffi Mechanical � Fire <br /> 0 Foundation Survey � Hardcover Removal Fireplace 0 Water Connection <br /> � Framing � Other(specify) 0 Masonry 0 Sewer Connection <br /> �,Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofing Other(specify) - 0 Landscaping <br /> Framing s'e���G <br /> Insulation <br /> 0 As-Built Survey <br /> Final <br /> Lathe Required State Permits <br /> � Other(specify) <br /> � Well 0 Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �See Builder Acknowledgement Form <br /> 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />