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` Fees to be Char ed YES NO <br /> ^ Permit <br /> . Plan Review <br /> Sta#e Surcharge <br /> . Investigation Fee <br /> SAC—Number o#SAC Units <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15t Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing 0 Site � Plumbing � Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control � Mechanical 0 Fire <br /> � Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection <br /> 0 Framing 0 Other(specify) � Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) � Landscaping <br /> Framing 0 Septic <br /> 0 Insulation <br /> � As-Built Survey <br /> • Final <br /> � Lathe Required State Permits <br /> 0 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 /> � 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 />