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Fees to be Char ed YES NO . <br /> Permit (/� <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee l� <br /> SAC—Number of SAC Units � <br /> ` Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1Si Floor X = $ <br /> 2nd Flool' X = $ <br /> Garage X = $ <br /> Estimated Construction Value: �(� �� <br /> D`� <br /> , <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing 0 Site Plumbing 0 Grading/Filling <br /> 0 Poured Wall 0 Silt Fence/Erosion Control Mechanical � Fire <br /> � Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection <br /> 0 Framing � Other(specify) 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. � Lawn Irrigation <br /> �Foundation Waterproofing � Other(specify) � Landscaping <br /> �Framing <br /> �Insulation <br /> � As-Built Survey <br /> �Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> � Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 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 /> • <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />