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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 of SAC Units <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement � X = $ <br /> 15' Floor X = $ <br /> 2nd FI00� X = $ <br /> �ege-� X � _ $ <br /> / � / <br /> Estimated Construction Value: � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing � Site � 0 Plumbing 0 Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire <br /> � Foundation Survey � Hardcover Removal 0 Fireplace 0 Water Connection <br /> � Framing � Other(specify) � Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. � Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) � Landscaping <br /> Framing <br /> 0 Insulation <br /> 0 As-Built Survey <br /> Final <br /> � Lathe Required State Permits <br /> � Other(specify) <br /> � Well 0 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 />