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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 /> 1 St Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ��� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing 0 Site � Plumbing � Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control � Mechanical O Fire <br /> � Foundation Survey � Hardcover Removal 0 Fireplace 0 Water Connection <br /> � Framing � Other(specify) � Masonry � Sewer Connection <br /> 0 Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing <br /> 0 Insulation <br /> 0 As-Built Survey <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 /> 0 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 />