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Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee (� <br /> SAC—Number of SAC Units c/ <br /> Other(specify) V' <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 'Is' Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 7;7 , (%U'© <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing ❑ Site APIumbing ❑ Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 13Fire <br /> Foundation Survey 13 Hardcover Removal 3: ireplace ❑ 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 XElectrical <br /> REMARKS (in-house): <br /> ��a A�� awC VW�_ Qi1/U �1ytp/v�(-Pifil� li <br /> 1/bY� U.Iff- ' (41Ml�AM -�a VV-SZ- }rv� <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 /> zlforms\plan review checklist 06-2017.docx <br />