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4VT . . 7 . 4 . .. . . I . <br /> . �• <br /> � r • � , <br /> Fees to be Char ed YES NO <br /> Rermit <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� Floor X = $ <br /> 2nd FIOo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: S� � �(..(�, l�(%� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing � Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> Foundation Survey � Hardcover Removal Fireplace �,Water Connection <br /> 0 Framing 0 Other(specify) � Masonry �Sewer Connection <br /> � Waterproofing/Drain tile �Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing 0 Septic <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 /> Updated: June 2017 'I <br /> z:\forms�plan review checklist 06-2017.docx <br />