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. . Fees to be Charged YES NO <br /> Permit <br /> Plan Review l/ <br /> State Surcharge <br /> Investigation Fee V <br /> ,,SAC-Number of SAC.Units J-Uri iv'` <br /> Other(specify) 1/' <br /> Square Footage $ per Square Footage <br /> Basement V4( 6- 66' X 87.42 = , $ q--ct 71f'f, `�8 <br /> ti <br /> i‘viate441 185�' X 103. l z-- = $ 196, 3©q-,9,8 <br /> g-+-rear ZYST x 1D;.I91C- = . $ 1 zf35 3p <br /> Garage 5-78 X 3q. - - = $ Z3��9.5', iZ. <br /> ea <br /> Estimated Construction Value: $ ` � Jj:000- <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site ,Plumbing D Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Z Mechanical 0 Fire <br /> Foundation Survey D Hardcover Removal II Fireplace Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> Waterproofing/Drain tile .Mfg. 0 Lawn Irrigation <br /> ' Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing 0 Septic <br /> Insulation <br /> As-Built Survey <br /> Final <br /> l2" Lathe Required State Permits <br /> 0 Other(specify) <br /> 0 Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: <br /> Builder Acknowledgement Form . <br /> isle—Bee/ 0 Prior<to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> h <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />