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Fees to be Char ed YES NO <br /> Permit (f'' <br /> Plan Review � <br /> State Surcharge <br /> Investigation Fee t�, ' <br /> SAC-Number of SAC Units t�'' <br /> Other(specify) 1.�-�' <br /> r <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15t Floor X = $ <br /> 2nd FIoO►' X = $ <br /> Garage X = $ <br /> /� � <br /> Estimated Construction Value: $ l`�(%�� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site � Plumbing � Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control 0 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. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing � Other(specify) � Landscaping <br /> Framing <br /> 0 Insulation <br /> � 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 /> 0 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 /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />