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Fees to be Charged . YES NO <br /> Permit . e _° r . A <br /> Plan Review <br /> State Surcharge . p— "' 7 <br /> • Investigation Fee <br /> StiK. ; x : t e' 't `'X <br /> Other(specify) i/' <br /> Square Footage $ per Square Footage <br /> Basement /-,'(t X g 7 4Z• =, $ 1(Z) 85?.ZZ <br /> 1st Floor /Z,. ( X /03- Z_ = $ I /- <br /> 2nd Floor l CE Z,- X to • = $ /6447626 -0 8 <br /> Garage 7l T X 3q • t q— = $ Z"9 11(20 i (i <br /> `7 <br /> Estimated Construction Value: $ 4-1/-‘3/MD v <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site *Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal , . Fireplace Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> Waterproofing/Drain tile Mfg. 0 Lawn Irrigation <br /> ❑ Foundation Waterproofing ❑ Other(specify) 0 Landscaping <br /> Framing ❑ Septic <br /> Insulation <br /> cXr 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:\fon'ns\plan review checklist 06-2017.docx <br />