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• <br /> r~ C��i ` r Fees to be Charged 1 -1.) vol 'Jo . `` <br /> ►`Rleh Review .i - '--). 'ii 4 �:_! I <br /> State Surcharge '_ <br /> Investigation Fee LV <br /> .,t ,' _ _ 1 : <br /> Other(specify) <br /> I l. <br /> Square Footage $ per Square Footage lL QQ <br /> Basement I I �Z? x /05. Z.�Z. = $ 11F-0 J 5'01, 108 <br /> /a, e� Un • 1 X g 7 lf-�• _ $ I - <br /> 194 2nd Floor � - •- �9z Ir��, �x 7_ = $ 3�It,i�I , 9E <br /> Garage &ar X ;'q. 17Ll/- = $ J 8j41 .ZO <br /> Estimated Construction Value: $ \`7 S D Oc? �. ! ,� ,�.; <br /> Orono Inspections1tegijred,'• Work Requiring Separate Permits <br /> Footing D Site ,'Plumbing D Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control X Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal Fireplace Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> b Waterproofing/Drain tile Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing 0 Other4specify) 0 Landscaping t\ w,4 ! t <br /> Framing . r^ '+ • 0 Septic r •1 i <br /> AI Insulation . 1 <br /> A1 As-Built Survey <br /> ,ti Final <br /> Lathe Required State Permits <br /> O Other(specify) <br /> Well >c Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> D See Builder Acknowledgement Form <br /> D 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 />