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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review i/' <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 �� � j x �. 7 = $ �j 7(�I _ �7 <br /> 15' Floor a X , _ $ Z� .� . G�.c1� <br /> 2"d Floo� � X lo � _ $ I✓ �• ]-/d � <br /> arag ,. Z Z.�j3 X 3°1- 7Z, _ $ �� 1� �. 7� <br /> Esti ate Con truction Value: ��/ �� / �� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �(Footing 0 Site �Plumbing 0 Grading/Filling <br /> ��Poured Wall Silt Fence/Erosian Control �Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal Fireplace Water Connection <br /> � Framing � Other(specify) 0 Masonry Sewer Connection <br /> �'Waterproofing/Drain tile �Mfg. � Lawn Irrigation <br /> Foundation Waterproofing � 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 />