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� Fees to be Char ed YES NO <br /> � <br /> � • Pertnit <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 /> � 1St Floor X = $ <br /> � 2nd FI00� X = $ <br /> � Garage X = $ <br /> Estimated Construction Value: $ � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing 0 Site 0 Plumbing � Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control O Mechanical � Fire <br /> � Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection <br /> 0 Framing � Other(specify) 0 Masonry 0 Sewer Connection • <br /> � Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> " � Framing <br /> � Insulation <br /> � As-Built Survey <br /> � Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> � Well � Electrical <br /> REMARKS (in-house): <br /> f <br /> � <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 /> . • ..e . . . . <br /> �' <br /> � Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />