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Fees to be Charged YES NO <br /> Permit <br /> Plan Review (/ <br /> State Surcharge 1/ <br /> Investigation Fee <br /> SAC–Number of SAC Units )—Mi r)-- <br /> Other(specify) l . <br /> Square Footage $ per Square Footage <br /> t14—Basement 21/--G1 x 97,TZ- = $ -2./ 6.7. 58 <br /> 6,2 Z&s-e klicA4 15b--(. x /03..7 = $ 1 l l)&2?7 - b'z- <br /> /5 -rZeoy /lP D 5 x /m.o�, . z $ I l�l/, <br /> (, 71 I , l_a 0 <br /> Garage 4L x (77 /e _ $ 171 03P, `D c6 <br /> Estimated Construction Value: $ ,3 / ( QoD <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site X Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> iSC,Foundation Survey 0 Hardcover Removal Fireplace Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> -'Waterproofing/Drain tile Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing 0 ther(specify) 0 Landscaping <br /> Framing 0 Septic <br /> Insulation <br /> As-Built Survey <br /> 'Final <br /> Lathe Required State Permits <br /> O Other(specify) <br /> 0 Well ' 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 />