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Fees to be Char ed YES NO <br /> Permit L� <br /> Plan Review �� <br /> Sta#e Surcharge j/—� <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 /> 1� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> � <br /> Estimated Construction Value: $ �� ��C� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site Plumbing 0 Grading/Filling <br /> Poured Wall 0 Silt Fence/Erosion Control � Mechanical 0 Fire <br /> � Foundation Survey 0 Hardcover Removal 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 /> � Other(specify) <br /> 0 Well Electrical <br /> REMARKS (in-house): <br /> OF ICIAL 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 /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />