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Fees to be Charged YES NO <br /> Permit •t/" <br /> Plan Review 1/ <br /> State Surcharge 1r __ <br /> Investigation Fee <br /> SAC-Number of SACUn'ts 1--(/Ai(- <br /> Other(specify) i s 7-4/IAii, L.- A„ ✓ <br /> Square Footage $ per Square Footage _ <br /> Basement !ZZ4 X 1©3, Q� _ $ / 7 05, <br /> Z.,1--, u-/ AntiAG Z. '7 X 8 7.4. 2_ = $ 1 t7(9. l44- . <br /> 10-¢2nd Floor 1114 q 17eb x to ; v t Z = $ 332Ot5�r( <br /> Garage 74& Xp 5' , ,./ - $ 211 c0 l. 1 a <br /> Estimated Construction Value: $ JV©J NO �- <br /> Orono Inspections Required Work Requiring Separate Permits <br /> %Footing 0 Site Plumbing ❑ Grading/Filling <br /> X Poured Wall ilt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey )17-Hardcover Removal eIgr Fireplace 0 Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> Waterproofing/Drain tile /131, Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> 2.0. Framing 0 Septic <br /> Insulation <br /> A,As-Built Survey <br /> Final <br /> Lathe Required State Permits <br /> ❑ Other(specify) <br /> Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ):ISee 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 />