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Fees to be Char ed YES NO <br /> Pertnit t�` <br /> Plan Review � <br /> State Surcharge y;--� <br /> Investigation Fee ' <br /> SAC-Number of SAC Units v" <br /> Other(specify) (/-' <br /> S uare Foota e $ er S uare Foota e <br /> Basement Q x f p(I, _ $ j� � <br /> 1 S' Floor � X � ; _ $ �� �•� <br /> 2nd FI00� X 1��a — � { ��v �v <br /> Garage X 3�f, � _ $ ( �7 <br /> .,, �,� �`� �,� �y� <br /> ' Estimated Construction Value: �_ � , _. <br /> J <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 0 Hardcover Removal �Fireplace �Water Connection <br /> 0 Framing 0 Other(specify) � Masonry Sewer Connection <br /> �Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofing 0 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 /> � Sg � �� <br /> o� o � � <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIAL � <br /> � ��� <br /> �ee Builder Acknowledgement Form � /� <br /> 0 Prior to release of escrow money an as-built survey and hardco� , ��'�'-/ ; <br /> /,7�� ,Q� -� <br /> ,� ; 7`�_ `� � `Q <br /> --�� �..� c� <br /> � ' ���� <br /> 4�.� <br /> , _ _ _ _ _ _ <br /> , . � . <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />