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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 of SAC Units --(1 ' <br /> Other(specify) �/' <br /> S uare Foota e $ er S uare Foota e <br /> Basement �j X �, l�� _ $ I 7 • � <br /> 1� Floor � 8 X � , �— _ $ �Z�. <br /> 2nd FI00� 1 X . � _ $ � o <br /> Garage � X = $ �, <br /> /�/ p /� � <br /> Estimated Construction Value: $ 7_(lG !, �1�� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey �•0 Hardcover Removal Fireplace �Water Connection <br /> � Framing �� Other(specify) � Masonry �Sewer Connection <br /> �Waterproofing/Drain tile �Mfg. � Lawn Irrigation <br /> 0 Foundation Waterproofing � Other(specify) � Landscaping <br /> Framing 0 Septic � <br /> Insulation <br /> As-Built Survey <br /> Final <br /> � Lathe Required State Permits <br /> � Other(specify) <br /> 0 Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �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 /> . • � <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />