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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 /> �' z, X �?•7� _ $ / 7 �DD, [ <br /> 15t Floor X = $ <br /> 2nd FIoO� X = $, <br /> Garage X = $ <br /> Estimated Construction Value: $ � C, �� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site � Plumbing � Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire <br /> 0 Foundation Survey � Hardcover Removal � Fireplace � 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 �' � <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 /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />