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, Fees to be Char ed YES NO <br /> • Perm it t/ <br /> •� Plan Review 1/ <br /> State Surcharge L/ <br /> Investigation Fee l/ <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement' X = $ <br /> 1St Floor X = $ <br /> 2nd Floo� X = $.. <br /> Garage X = $ <br /> Estimated Construction Value: $ / ��� Vli(J <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing � Site Plumbing � Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control Mechanical � Fire <br /> 0 Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection <br /> 0 Framing 0 Other(specify) , 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing � Other(specify) � Landscaping <br /> �Framing <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 /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />