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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 J—jf��' <br /> Other(specify) �- <br /> S uare Foota e $ er S uare Foota e <br /> Basement Q � x ��l '� _ $ � <br /> 1� Floor � ? X 1��, Z = $ <br /> . ,� <br /> 2nd FIoO� /' � X �.7� _ $ �- , (� <br /> Garage � X 3�'. Z = $ z l �jz, � <br /> � <br /> Estimated Construction Value: $ � ��t ��� �_ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � ^ ��+p �[Plumbing � Grading/Filling <br /> Poured Wall rol �Mechanical � Fire <br /> Foundation Surve � � Fire lace Water Connection <br /> � Framing y � '� ��' L� � Masonry. �SewerConnection <br /> �Waterproofing/Drain 1 l 5 �'�, �� � Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofii � Other(specify) 0 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 /> ���Y� �n� nc��- show 2` r, . �;�r�� �.rco�. <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ('�ee Builder Acknowledgement Form <br />< v� 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 />