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��'+,. . Fees to be Char ed YES NO <br /> Permit 1/' <br /> Plan Review ' (/' <br /> State Surcharge � <br /> Investigation Fee <br /> SAC—(dumber o#SAC Units <br /> Other(specify) (/' <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd FIo01' X = � $ <br /> Garage X = $ <br /> -�7 ,/� ob <br /> Estimated Construction Value: $ G—�,tX �� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site O Plumbing 0 Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control � Mechanical O Fire <br /> � Foundation Survey � Hardcover Removal 0 Fireplace O Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> � Framing � Septic <br /> � Insulation <br /> � As-Built Survey <br /> Final <br /> 0 Lathe Required State Permits <br /> " �Other(specify) ��'� 1 V L 1 <br /> � Well 0 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 /> � <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />