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Fees to be Charged YES NO <br /> Permit I/ <br /> Plan Review <br /> State Surcharge (l <br /> Investigation Fee !� <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement r 70L x p , qZ = $ 9 A3 /07-L <br /> 1St Floor t y 8 x $ 7� <br /> -t x 3 . 14 _ $ ZlNO <br /> Garage 5_g0 x _ $ Z 2j Z I�0 <br /> Estimated Construction Value: $ `7 ` /, Wo <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing ❑ Site ❑ Plumbing ❑ Grading/Filling <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 /> ')!T-Waterproofing/Drain the / ❑ Mfg. �❑ Lawn Irrigation <br /> 13Foundation Waterproofing �'�GK / / ❑ Other(specify) ❑ Landscaping <br /> Framing <br /> Insulation <br /> PE As-Built Survey <br /> Final <br /> ❑ Lathe Required State Permits <br /> ❑ Other(specify) <br /> ❑ Well XElectrical <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: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />