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Fees to be Char ed YES NO <br /> Permit t/ <br /> Plan Review (/'�" <br /> State Surcharge (� <br /> Investigation Fee ��' <br /> SAC—Number of SAC U�its <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement ,h / 7 X ��p, �,(P = � g � .Z <br /> 1� Floor�� �Z �v�D`� ��.�7 X )�U� _ $ �-�' .�Z. <br /> S' ;,; _ ,- _ ',;;;�,��� �C� 38�-f-�_ X 7 = $ �f � <br /> Garage q� c� 1j,�0 'f l �� x v?�• _ $ 5�`�f'I�� <br /> � /- � <br /> Estimated Construction Value: $ 7 S l, ,���P <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site Plumbing � Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> �Foundation Survey 0 Hardcover Removal Fireplace 0 Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry �,Sewer Connection <br /> Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation <br /> Foundation Waterproofing 0 Other(specify) � Landscaping <br /> Framing <br /> Insulation <br /> �As-B u ilt Su rvey <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 /> � 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 />