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— r <br /> ' Fees to be Char ed YES NO <br /> Perm it .+r-"' <br /> Plan Review ;�'� <br /> State Surcharge � <br /> Investigation Fee j/ <br /> SAC—Number of SAC Units �M��`� <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ,S(Y(%, �lJ�� . <br /> ,� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site Plumbing � Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> �Foundation Survey � Hardcover Removal �Fireplace �Water Connection <br /> � Framing 0 Other(specify) 0 Masonry �Sewer Connection <br /> ��Waterproofing/Drain tile �' Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> Framing <br /> Insulation <br /> As-Built Survey <br /> Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 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 /> ; ; ,. • . �¢`: . f� <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br /> . u _ <br />