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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee � <br /> SAC—Number o#SAC Units ,� ¢�G <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 S' Floor X = $ <br /> 2nd Floo� X = $. <br /> Garage X = $ <br /> / _/ <br /> Estimated Construction Value: $ (�� , (�� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing � Site Plumbing � Grading/Filling <br /> �Poured Wall Silt Fence/Erosion Control � Mechanical � Fire <br /> �Foundation Survey � Hardcover Removal �Fireplace � Water Connection <br /> � Framing 0 Other(specify) 0 Masonry � Sewer Connection <br /> �Waterproofing/Drain tile �,Mfg. O Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) 0 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 />