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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 <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X 8 Z, <br /> 15' Floor Z_z © X 7, _ $ Z 2W 2q_ Z <br /> 2nd Floor X = $' <br /> Garage X <br /> 991� m <br /> Estimated Construction Value: $ y'�, <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site Plumbing 17 Grading/ Filling <br /> 0 Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal Fireplace 0 Water Connection <br /> Framing 0 Other(specify) 13 Masonry 0 Sewer Connection <br /> Waterproofing/Drain tile Mfg. 0 Lawn Irrigation <br /> 1] Foundation Waterproofing C3 Other(specify, 13 Landscaping <br /> Framing Septic <br /> Insulation <br /> As-Built Survey <br /> Final <br /> Lathe [ Required State Permits <br /> 13Pt7r_Q2hey p lify ) <br /> 7 �'1 1 VO <br /> lOil ` �`! Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Acknowledgement Form <br /> C1 Prior to release of escrow money an as-built survey and hardcover calculations mist be submitted and approved. <br /> e r v i r e cP t lr' <br /> s <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />