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Fees to be Charged YES NO <br /> Permit i.� <br /> Plan Review c/ <br /> State Surcharge !-----1 <br /> Investigation Fee <br /> SAC—Number of SAC Units `1 <br /> Other(specify) j----' <br /> , Square Footage $ per Square Footage <br /> Baserne t ,c . N13&0 X g.5-7 = .$.''. 1/ 3 ft7,I20 <br /> 1TM Floor [5 6?0' X ISO,Z__6 _ $ 13(e)353- a <br /> 2nd Floor l693 X 1 do. 2.(Q = $ 1 a ?1 7',ig <br /> Garage 6(e7--, //��X 3q 7 _ $ 3 �I-� z38,4q- <br /> Estimated Construction Value: $ 1t'5 <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing D Site X Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control A Mechanical D Fire <br /> Foundation Survey D Hardcover Removal ett Fireplace D Water Connection <br /> D Framing 0 Other(specify) 0 Masonry ` 'Sewer Connection <br /> Waterproofing/Drain tile ,Mfg. 0 Lawn Irrigation <br /> W Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> iit Framing <br /> X Insulation <br /> 44,s-Built Survey <br /> Final <br /> Lathe Required State Permits <br /> 0 Other(specify) <br /> Well )(Electrical Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: <br /> See Builder Acknowledgement Form <br /> 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />