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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC—Number af SAC Units <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15' Floor X = $ <br /> Znd FIOo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ � J '�U` � � <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 � Mfg. 0 Lawn Irrigation <br /> Foundation Waterproofing 0 Other(specify) � Landscaping <br /> Framing <br /> nsulation <br /> 0 As-Built Survey <br /> �,Final <br /> athe Required State Permits <br /> � Other(specify) <br /> 0 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 />