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�1 (� i _ <br /> . ,��' � I��� Fees to be Char ed YES NO <br /> �� _ � ermit <br /> Plan Review v+ <br /> State Surcharge (� <br /> Investigation Fee U <br /> SAC—Number of SAC Units � <br /> Other(specify) <br /> „ <br /> S uare Foota e $ er S uare Foota e <br /> Basement ., - ;; X = $ <br /> ... <br /> 15' Floor X = $ <br /> 2nd Floo� X = $ . <br /> Garage X = $ <br /> Estimated Construction Value: $ �� J, `7_� � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing � Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> Foundation Survey � Hardcover Removal Fireplace �Water Connection <br /> � Framing �( Other(specify) � Masonry �Sewer Connection <br /> �Waterproofing/Drain tile ��e�� S�1,tKG,��ts �Mfg. 0 Lawn Irrigation <br /> �Foundation Waterproofing � � Other(specify) � 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 />�See Builder Acknowledgement Form <br /> 0 Prior to release of escrow oney an as-built surve�nd rardcov�culations must e submitte and approved <br /> TI.J <br /> . r . <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />