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Fees to be Char ed YES NO <br /> Pennit <br /> Plan Review <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 /> 1 S' Floor X 3,7 = $ . (p <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: � <br /> . <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site � Plumbing 0 Grading/Filling <br /> � Poured Wall 0 Silt Fence/Erosion Control �Mechanical 0 Fire <br /> � Foundation Survey � Hardcover Removal � Fireplace � Water Connection <br /> 0 Framing � Other(specify) � Masonry 0 Sewer Connection <br /> 0 Waterproofing/Drain tile � Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing 0 Other(specify) � Landscaping <br /> Framing <br /> �Insulation <br /> 0 As-Built Survey <br /> �Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> 0 Well Electrical <br /> REMARKS (in-house): � 6�" <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> t�See Builder Acknowledgement Form <br /> ✓ <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 />