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� f <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review �/' <br /> State Surcharge <br /> Investigation Fee � <br /> SAC—Number of SAC Units <br /> Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd FIOo� X = $ <br /> Garage X = $ <br /> � <br /> Estimated Construction Value: $ ��i0�� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site � Plumbing O Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control echanical 0 Fire <br /> � Foundation Survey � Hardcover Removal � Fireplace � Water Connection <br /> � Framing � Other(specify) 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. O Lawn Irrigation <br /> � Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> � Framing , <br /> � Insulation <br /> 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 /> 0 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: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />