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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 /> Base e t .,� � X = $..,, <br /> 1 S' Floor X = $ <br /> 2nd FIoO(' X = $ ' <br /> Garage X = $ <br /> Estimated Construction Value: $ �� LY�v � � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> ooting ' 0 Site � Plumbing � Grading/Filling <br /> � Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire <br /> 0 Foundation Survey 0 Hardcover Removal � Fireplace � Water Connection <br /> � Framing 0 Other(specify) 0 Masonry, 0 Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing � Other(specify) 0 Landscaping <br /> � Framing <br /> 0 Insulation <br /> As-Built Survey <br /> Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> � O Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �SQe Builder Acknowledgement Form <br /> O 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 />