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icck S-6huCiv re5' Same r ee ‘ - <br /> 0 AS-7 4e-e%)- ' , <br /> Fees to be Charged YES NO <br /> Permit , <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC— Number of SAC Units <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: $ C± &/' S4..e.e,-/__ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> ZFooting ❑ Site ❑ Plumbing 0 Grading/Filling <br /> -..... 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire <br /> Foundation Survey ❑ 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 /> ❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing 0 Septic <br /> ❑ Insulation <br /> ❑ As-Built Survey <br /> ?Et Final <br /> ❑ Lathe Required State Permits <br /> ❑ Other(specify) <br /> 0 Well 0 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: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />