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Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge ` ' <br /> Investigation Fee p <br /> SAC—Number of SAC Units !,�. ot�� 1��t'� <br /> Other(specify) � , '� � �:,t � . � � e� .'` Z 015 -8�9� <br /> S uare Foota e $ er S uare Foota e <br /> sasement� ,C' j 7 x 0 .Z =-- � � <br /> 1� Floor � l X ,� _ $ 5 + <br /> r � � X , Z = $ <br /> Garage � X = $ �y- �� , � z <br /> Q /� � <br /> Estimated Construction Value: $ ��d/, ��V <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> Foundation Survey 0 Hardcover Removal Fireplace �Water Connection <br /> 0 Framing �Other(specify) 0 Masonry Sewer Connection <br /> `�Waterproofing/Drain tile It ��U�'' r,�a Ils `�Mfg. �Lawn Irngation <br /> Foundation Waterproofing -L 0 Other(specify) � Landscaping <br /> Framing <br /> Insulation <br /> As-Built Survey <br /> Final <br /> Lathe Required State Permits <br /> O Other(specify) <br /> 0 Well Electrical <br /> REMARKS (in-house): <br /> � l � � <br /> ��I��� � � ��. 7� <br /> �. <br /> .��G��ev/-�u� l �l L'�d . � <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND IN � Q � <br /> ��e Builder Acknowledgement Form ��� �U�`-' �-� � / ! ` <br /> V � <br /> 0 Prior to release of escrow money an as-built survey and h� �� 5� <br /> , <br /> �.,,� . . � _� . � _ , ��rE� �e�,,. �,�„ � � , <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />