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Fees to be Charged YES NO <br /> Permit f <br /> Plan Review <br /> State Surcharge V— <br /> Investigation Fee <br /> SAC—Number of SAC Units 1/ <br /> Other(specify) (� <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X - _ $ <br /> Estimated Construction Value: $ i <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �( Footing ❑ Site ❑ Plumbing ❑ Grading/Filling <br /> ✓❑` Poured Wall Silt Fence/Erosion Control ❑ Mechanical ❑ Fire <br /> ❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection <br /> ❑ Framing ❑ Other(specify) ❑ 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 /> ❑ Other(specify) <br /> ❑ Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ❑ See Builder Acknowledgement Form <br /> ❑ 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 />