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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 $ per S uare Foota e <br /> Basement X = $ <br /> 15' 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 0 Plumbing 0 Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire <br /> 0 Foundation Survey 0 Hardcover Removal � Fireplace � Water Connection <br /> � Framing O Other(specify) � Masonry � Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. - � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) � Landscaping <br /> Framing <br /> � Insulation <br /> 0 As-Built Survey <br /> ' al <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> � Well 0 Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Acknowledgement Form � (^I`� �� �� � 1__ <br /> 17 !'1Ai <br /> �ior to release of escrow money an as-built survey `��rt3'rttu�t�3�d-���r'oved- <br /> --�� _ _ � Ou�ro�'ed• <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />