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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 f� <br /> Other(specify) �' <br /> S uare Foota e $ er S uare F.00ta e <br /> Basement � � �� X /� �. .'�f = $ 1 �G �r� � �'�' <br /> 1� Floor 0 t � ¢ JT7 X ��3- x — $ � [ 3 "! ` ! . � T <br /> ��� ����s�i � -� �q� X ` Sr = � � 05'� . <br /> Garage X ��j, �T-- _ $ ,3/ 7d 9 • 7lP <br /> Estimated Construction Value: $ �/. L, � � �_ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing 0 Site Plumbing � Grading/Filling <br /> ,�Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> �'!C Foundation Survey 0 Hardcover Removal Fireplace Water Connection <br /> � Framing � Other(specify) � Masortry Sewer Connection <br /> �Waterproofing/Drain tile �Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> � Framing ° � Septic <br /> lnsulation <br /> �,As-Built Survey <br /> �Final <br /> Lathe Required State Permits <br /> � Other(specify) <br /> � Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL 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: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />