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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 <br /> Other(specify) Li- <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 151 Floor X = $ <br /> 2nd FIOOt' 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 0 Mechanical 0 Fire <br /> � Foundation Survey � Hardcover Removal � Fireplace � Water Connection <br /> 0 Framing Other(specify) 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofing �,� � Other(specify) � Landscaping <br /> 0 Framing <br /> 0 Insulation �� C� <br /> 0 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 /> � 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: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />