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Fees to be Charged YES NO <br /> Permit if <br /> Plan Review V <br /> State Surcharge 1/' <br /> Investigation Fee <br /> SAC—Number of SAC Units q/' <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement ri4 IZ (I-1 l ' X /190. Z63. _ $ i•'''6; /Z ZZ174 <br /> ea,.e, e� 684-A.,uA4d Z q 4. x 5 T. 76, = . $ Z- kZ5: 4.r/- <br /> 12nd Floor 15W4-1747% 0 <br /> )747% 337 <br /> sfX '00. �6 = $ 334- 868.40 <br /> Garage 6,3 X . 3?. 7 Z.- , = $ 331 &r-710 '{-. <br /> s im ns ru ion a ue: r .57 7,---7 • <br /> �J eta <br /> Orono Inspections Required Work Requiring Separate Permits <br /> X Footing ❑ Site Plumbing 0 Grading/Filling <br /> X Poured Wall /Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey ` 0 Hardcover Removal ?SC Fireplace 0 Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> X Waterproofing/Drain tile ' Mfg. 0 Lawn Irrigation <br /> 5 Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing <br /> Insulation <br /> As-Built Survey <br /> Final <br /> X❑ <br /> Lathe Required State Permits <br /> Other(specify) <br /> 21(Well 23cElectrical <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 />