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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 FIoOP X = $ <br /> Garage X = $ <br /> Estimated Construction Value: � `�� � � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing � Site �( Plumbing � Grading/Filling <br /> �.Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> �Foundation Survey 0 Hardcover Removal Fireplace 0 Water Connection <br /> � Framing Other(specify) � Masonry. �.Sewer Connection <br /> �Waterproofing/Drain tile ��/G1, "f•eS��--��,� � Mfg. �Lawn Irrigation <br /> ,�( Foundation Waterproofing �� � ` � Other(specify) � �Landscaping <br /> ,�Framing <br /> �C Insulation <br /> �' As-Built Survey <br /> � Final <br /> 0 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 /> 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 />