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S <br /> Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> Stats Surcharge <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X $ <br /> 1 st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ coo <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing d Site , 'D Plumbing 0 Grading/Filling <br /> 0 Poured Wall 0 Silt Fence/Erosion Control XMechanical 0 Fire <br /> 0 Foundation Survey Cl Hardcover Removal -0 Fireplace 0 Water Connection <br /> D Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> 0 Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> 0 Framing 0 Septic <br /> 0 Insulation <br /> -Built Survey <br /> Final <br /> 0 Lathe Required State Permits <br /> 0 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 /> - Prtor to release of escrow money areas-built survey,and hardcover calculations must be submitted and approved. <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />