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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 Faota e <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd FI00� X '` _ $ <br /> Garage X = $ <br /> Estimated Construction Value: $ !J ' �VV <br /> Orono Inspections Required Work Requiring Separate Permits <br /> ooting � Site � Plumbing 0 Grading/Filling <br /> 0 Poured Wall 0 Silt Fence/Erosion Control � Mechanical � Fire <br /> � Foundation Survey � Hardcover Removal � Fireplace � Water Connection <br /> � Framing 0 Other(specify) � Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) 0 Landscaping <br /> Framing <br /> � Insulation <br /> 0 As-Built Survey <br /> Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> 0 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 /> ,.. 1 � <br /> , ;• r ,. .. �r ». . " - . + <br /> ,J` `i�, .. s ��SY�jN �r��' . I�� .� � � . � '' .. • . . <br /> •w <br /> .s` <br /> < ' A# <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />