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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) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ !�����, � � 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 0, Water Connection <br /> �Framing � Other(specify) � Masonry �Sewer Connection <br /> �Waterproofing/Drain tile �Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> � Framing <br /> Insulation <br /> As-Built Survey <br /> inal <br /> Lathe Required State Permits <br /> � Other(specify) <br /> � Well 0 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: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />