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Fees to be Charged YES NO <br /> Permit ` . ff <br /> Plan Review • <br /> State Surcharge °rt <br /> Investigation Fee <br /> t <br /> ° ' y '"ftl 9 4 ?a' t 3 <br /> Other(specify) IV� <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd Floor X = ' $ <br /> Garage X = $ <br /> Estimated Construction Value: $ /gOJ o10 <br /> Orono Inspections Required Work Requiring Separate Permits <br /> .Footing ❑ Site (Plumbing 0 Grading/Filling <br /> O Poured Wall 0 Silt Fence/Erosion Control 21EL Mechanical 0 Fire <br /> O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection <br /> ❑ Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> ❑ Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing 0 Septic <br /> • Insulation <br /> Built Survey <br /> �- Final <br /> Lathe Required State Permits <br /> ❑ Other(specify) <br /> 0 Well XElectrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> (/ e Builder Acknowledgement Form <br /> ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />