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Fees to be Charged YES NO <br /> Permit L/1- <br /> Plan Review bl` <br /> State Surcharge <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 151 Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing ❑ Site Plumbing ❑ Grading/Filling <br /> Poured Wall A Silt Fence/Erosion Control Mechanical ❑ Fire <br /> Foundation Survey ❑ Hardcover Removal Fireplace ❑ Water Connection <br /> ❑ Framing E3Other(specify) 13 Masonry t .Sewer Connection <br /> Waterproofing/Drain tile Mfg. / 13' <br /> ❑`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 /> Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ❑ See Builder Acknowledgement Form <br /> ❑ 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 />