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` . � Fees to be Char ed YES NO <br /> � Permit ' <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee ✓' <br /> SAC—tdumber o#SAC Units V^ <br /> Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd Flool' X = $ <br /> Garage X = $ <br /> �I _/ <br /> Estimated Construction Value: $ _ d��0 <br /> Orono Inspections Required Work Requiring Separate Permits <br /> `�Footing � Site O Plumbing � Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire <br /> 0 Foundation Survey O Hardcover Removal 0 Fireplace � Water Connection <br /> � Framing � Other(specify) 0 Masonry 0 Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing � Other(specify) 0 Landscaping <br /> � Framing 0 Septic <br /> O Insulation <br /> � As-Built Survey <br /> Final <br /> 0 Lathe Required State Permits <br /> t er( peci ) <br /> � � Well 0 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 /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />