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Fees to be Charged YES <br /> ;, ae: s <br /> Plan Review <br /> Investigation Fee <br /> S <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement 2 ( ;(c X ) 03 4 _ $ 121 9n- a- <br /> . <br /> 1StFloor Z- / 5@ X 105• gz = $ - 1 , 7 , )Z- <br /> 2ndFloor ( 9-_72— . X )Q� 3 • Z— = . $ l 3- 0) 97( 18 <br /> Garage -(4,k 17231- Z3( / XX v7 � = $ -7J 31 5 7 <br /> Estimated Construction Value: $ ((JJ Z j Off <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site -Plumbing 0 Grading/Filling <br /> Poured Wall ,Silt Fence/Erosion Control Mechanical 0 Fire <br /> / Foundation Survey 0 Hardcover Removal Fireplace 0 Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> Waterproofing/Drain tile 'Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing Septic <br /> Insulation <br /> As-Built Survey <br /> b Final <br /> 'fir Lathe Required State Permits <br /> O Other(specify) <br /> XWell 0 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 calculatiops must be submitted and approved. <br /> Ca. I/ ers/o h CO 1'1 -/ro / l n .2.ct/0 V1 ke_,-Pc re <br /> -Pvcc? U f f o vl b',e-,9 [ A ,se it),� p e 1 f'z1 1.- .7. l 4 IAA f v'P,C v 1-✓'B <br /> GC -50115 veer / f C-'t-d' 10 kI be-fors I S.S !/i V <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />