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t <br /> Fees to be Char ed YES NO / `"s/'�7 `-' <br /> Permit (/' <br /> Plan Review (/ U� �� <br /> State Surcharge t/ r,o„q�C�� <br /> Investigation Fee <br /> "'Z <br /> SAC—Number of SAC Units <br /> Other(specify) ►�— <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing � Site Plumbing � Grading/Filling <br /> 0 Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> ,�Foundation Survey � Hardcover Removal �Fireplace � Water Connection <br /> 0 Framing � Other(specify) 0 Masonry Sewer Connection <br /> � Waterproofing/Drain tile � __.__J� � � Mfg. � awn Irrigation <br /> � Foundation Waterproofing ��r -�a�.� 0 Other(specify) 0 Landscaping <br /> �Framing <br /> Insulation <br /> 'As-B u i It Su rvey <br /> �Final <br /> 'Lathe Required State Permits <br /> � Other(specify) _ <br /> Well Electrical <br /> REMARKS (in-house): <br /> e <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �ee Builder Acknowledgement Form <br /> � �P ir or 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 />