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Fees to be Charged YES NO <br /> Permit ✓ <br /> Plan Review V <br /> State Surcharge (/` <br /> Investigation Fee V <br /> SAC— Number of SAC Units V <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement <br /> / ' r- p'/' X /03. 7Z, _ $ /tt5 340, Y-0 <br /> 1st Floor2 /(t5-3 I8W0 x /03 -7 = $ Ce3 Ce 14P.c'8 <br /> L.L, un f(410%4 � rf Cf )58` '5'Z 97. 4-z, _ $ J�`r1 gt .7U <br /> Garage ¢P � 7q11-4-4-03 X scr. 17 _ $ ii-7 (9`a , 9- <br /> Estimated Construction Value: $ Wl © <br /> D0 <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing D Site Plumbing 0 Grading/ Filling <br /> Poured Wall Silt Fence/Erosion Control -Mechanical 0 Fire <br /> ilL Foundation Survey 0 Hardcover Removal 31.. Fireplace 0 Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry - 0 Sewer Connection <br /> Waterproofing/Drain tile 12:Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> X, Framing Septic <br /> Insulation <br /> kl'As-Built Survey <br /> :Final <br /> ]r Lathe Required State Permits <br /> !0 Other(specify) <br /> 7Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> O See Builder Acknowledgement Form <br /> O 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 />