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Fees to be Charged YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge t/ <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement u <br /> 157 5� X 8 _ $ <br /> 1 s' Floor X ( Z = $ <br /> 2nd Floor 2 ( X g Z $ rf <br /> Garage ( X yC�- _ $ ;v <br /> Estimated Construction Value:' <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing ❑ Site Plumbing ❑ Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control )ID Mechanical ❑ Fire <br /> Foundation Survey Cl Hardcover Removal ('S Fireplace Water Connection <br /> ❑ Framing ❑ Other(specify) ❑ Masonry Sewer Connection <br /> /b-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 A Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ,000d�ee 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:\forms\plan review checklist 06-2017.docx <br />