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s <br /> Fees to be Charged YES NO <br /> Permit V <br /> Plan Review <br /> State Surcharge (/ <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Other (specify) tl <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X _ $ <br /> Estimated Construction Value: $ Z�,06l/ <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 /> ❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation <br /> ❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping <br /> Framing ❑ Septic <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: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />