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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> Sta#e Surcharge <br /> Investigation Fee <br /> SAC—Number of SAC Units <br /> Other(specify) <br /> S uare Foota e $ er Square Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd FIoO� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ��W <br /> Orono Inspections Required Work Requiring Separate Permits <br /> "�Footing 0 Site Plumbing 0 Grading/Filling <br /> Poured V�,'all Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey � Hardcover Removal C�X Fireplace � Water Connection <br /> Framing � Other(specify) � Masonry � Sewer Connection <br /> Waterproofing/Drain tile Mfg. � Lawn Irrigation <br /> oundation Waterproofing ther(specify) 0 Landscaping <br /> Framing �� <br /> Insulation <br /> As-Built Survey <br /> inal <br /> �, Lathe Required State Permits <br /> 0 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 /> 0 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 />