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, <br /> Fees to be Charged YES NO <br /> Permit t/' <br /> Plan Review f.^ <br /> State Surcharge / ' <br /> Investigation Fee U <br /> SAC—Number of SAC Units 1.---- <br /> Other <br /> /Other(specify) 1,--- <br /> Square <br /> /Square Footage $ per Square Footage I <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 017:49' ` C J&O <br /> �I <br /> Orono Inspections Required Work Requiring Separate Permits <br /> *Footing ❑ 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 /> ❑ Framing 0 Other (specify) 0 Masonry 0 Sewer Connection <br /> ❑ Waterproofing/Drain tile .'Mfg. 0 Lawn Irrigation <br /> zifFoundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing 0 Septic <br /> Insulation <br /> ❑ As-Built Survey <br /> Final <br /> 0 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 /> 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 />