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Fees to be Char ed YES NO <br /> Permit {�-� <br /> Plan Review <br /> State Surcharge � <br /> Investigation Fee V <br /> SAC—Number af SAC Units �� �j,�� <br /> Other(specify) v <br /> S uare Foota e $ er S uare Foota e <br /> Basement �n od / ? x /p;.gI� _ $ /l�(� t . �l,�, <br /> 1gtFloorl 17195'9��.�'7 X D • � _ � /�l3 �i4�'.� � <br /> l9�1• •K�s � �f ��'FJ x � 8 Z• y-Z- _ $ 26 Osl. �lo <br /> Garage ��� `� �C�7 X � . _ $ .3� 7��. 7�p <br /> Estimated Construction Value: $ �7 G 7�IYVIJ �— <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �1 Footing � Site Plumbing � Grading/Filiing <br /> Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> Foundation Survey � Hardcover Removal �Fireplace Water Connection <br /> � Framing � Other(specify) � Masonry Sewer Connection <br /> �Waterproofing/Drain tile �Mfg. Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> � Framing 0 Septic <br /> �Insulation <br /> As-Built Survey <br /> � Final <br /> �L Lathe Required State Permits <br /> � Other(specify) <br /> 0 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: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />