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Fees to be Char ed YES NO ' <br /> Permit <br /> Plan Review <br /> S#a#e Surcharge 1/ <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 /> 1�' Floor X = $ <br /> 2nd FI00� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ( lX, ,'�o� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing 0 Site � Plumbing 0 Grading/Filling <br /> � Poured Wall 0 Silt Fence/Erosion Control �Mechanical � Fire <br /> � Foundation Survey � Hardcover Removal �0 Fireplace O Water Connection <br /> 0 Framing � Other(specify) 0 Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing � Other(specify) � Landscaping <br /> �Framing <br /> 0 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 /> 0 See Builder Acknowledgement Form <br /> � Prior to release of escrow money an as-built survey and ha�dcover calculations must be submitted and approved. <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />