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i � <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC—ldumber of SAC Units <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd FIoO(' X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ /� ��� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing � Site 0 Plumbing � Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire <br /> O Foundation Survey O Hardcover Removal � Fireplace � Water Connection <br /> 0 Framing � Other(specify) 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) 0 Landscaping <br /> Framing � Septic <br /> Insulation <br /> 0 As-Built Survey <br /> Final <br /> 0 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 /> � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> � <br /> �, <br /> 1. . <br /> Updated: June 2017 <br /> z:\fortns\plan review checklist 06-2017.docx <br />