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Fees to be Char ed YES NO <br /> � Permit �/ <br /> Plan Review 1/ <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 . X ` _ $ <br /> 15t Floor X = $ <br /> 2nd FIoO� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ CQ,�O��O <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing 0 Site� �Plumbing � Grading/Filling <br /> �-Poured Wall Silt Fence/Erosion Control �, Mechanical � Fire <br /> �Foundation Survey � Hardcover Removal fffi. Fireplace � Water Connection <br /> � Framing � Other(specify) 0 Masonry 0 Sewer Connection , <br /> � Waterproofing/Drain tile O Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> ,�--Framing �Septic <br /> Insulation <br /> As-Built Survey <br /> �.Final <br /> Lathe Required State Permits <br /> � Other(specify) <br /> Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> � See Builder Acknowledgement Form <br /> � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />