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, � Fees to be Char e YES NO <br /> � Permit <br /> ' Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC—Tdumber of SAC Units <br /> Other(specify) <br /> Square Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15t Floor X = $ <br /> 2nd FIoO� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> 0 Footing � Site � Plumbing � Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control � Mechanical 0 Fire <br /> � Foundation Survey � Hardcover Removai � Fireplace 0 Water Connection <br /> � Framing � Other(specify) � Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. � 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 /> � Other(specify) <br /> � Well Electrical <br /> REMARKS (in-house): I � • <br /> OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Aeknowledgement 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 <br /> z:\forms�plan review checklist 06-2017.docx <br />