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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review (/` <br /> State Surcharge <br /> Investigation Fee l/' <br /> SAC-Number of SAC Units 1-�f/n i-{� <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ � �- - <br /> . <br /> ��. vn,�in rs e,� Z,v x -�, � _ $ <br /> 2"d FIOo� �c.,�� T � G L. X � _ ,�! ��� �� ^ - � � ( �(! .e� <br /> Garage Z�. X �� ��' _ $ Z. �zZ � <br /> Estimated Construction Value: � ��7', ��� �✓ <br /> Orono inspections Required Work Requiring Separate Permits <br /> �Footing 0 Site �j Plumbing 0 Grading/Filling <br /> �Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> �-Foundation Survey � Hardcover Removal �.Fireplace � Water Connection <br /> 0 Framing � Other(specify) � Masonry �Sewer Connection <br /> �Waterproofing/Drain tile �K Mfg. 0 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 /> 0 Other(specify) <br /> 0 Well O Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Acknowledgement Form <br /> O 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 />