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t - r <br /> ,. �, <br /> T Fees to be Char ed YES NO . <br /> Pe�nit <br /> Plan Review �" <br /> State Surcharge �/' <br /> Investigation Fee <br /> SAC—Number of SAC Units yA,�, ��d� — 2���^l94m �� <br /> Other(specify) � �"' �-, ��°�1 �' `rm�r�► v�•�+�` Zml J'�" m�5 8� <br /> S uare Foota e $ er S uare Foota e <br /> Basem <-, � X �p p, Z = $ j 75 <br /> 1� Floor X � �Z = $ <br /> ,� x 3 y,?� _ $ t �� . <br /> arage X 3�• L = $ Z1�- � <br /> 7 ,�y� � <br /> Estimated Construction Value: $ r7��, �uitJ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing � Grading/Filling <br /> Poured Wall ilt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey � Hardcover Removal Fireplace �Water Connection <br /> � Framing �Other(specify) 0 Masonry Sewer Connection <br /> �Waterproofing/Drain tile I /�, �a// �Mfg. �Lawn Irrigation <br /> �Foundation Waterproofing ( ,KY�'� �� � Other(specify) � Landscaping <br /> 'Fr`aming � ' . , <br /> �Insulation � <br /> As-Built Survey <br /> �Final <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 /> ee Builder Acknowledgement Form <br /> � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> �c���"�-� ��✓ �-7-� — <br /> �(�;�--� ��1 / � �t�D_ c�l — <br /> �� <br /> s��� l � . � _ <br /> � � ��� <br /> l <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />