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Fees to be Charged YES NO <br /> Permit V/' <br /> Plan Review l/ <br /> State Surcharge (/ <br /> Investigation Fee " ' i/'' <br /> SAC—Number of SAC Units I o 4e <br /> Other(specify) t/' <br /> Y • <br /> ' <br /> . • Square Footage $ per Square Footage <br /> Basement V4 .F44a*46l Ct 07 X g3. ?‘i = _ $ 3 q- 0 ?i 3L <br /> r=- 4. ,he.71 x"1444 R3 ? x /So. t(r = $ c( 511 7,).3. 4Z.J i 2nd Floor /;9. L . 17?(,, X AP,. z.G = $ 3141g1G , 4t(Q <br /> ge ¢3arage V Z564-77l X 3t. 7 = $ -7. 'f.,,94--- <br /> Estimated Construction Value: $ 7 Q 31 lqz <br /> Orono Inspections Required Work Requiring Separate Permits <br /> 4.Footing 0 Site g Plumbing 0 Grading/Filling <br /> Poured Wall ,Silt Fence/Erosion Control XI Mechanical 0 Fire <br /> lig Foundation Survey 0 Hardcover Removal Fireplace a9. Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry z)g. Sewer Connection <br /> Waterproofing/Drain tile Mfg. 0 Lawn Irrigation <br /> ❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> .Framing <br /> Insulation <br /> As-Built Survey <br /> Final <br /> 7C Lathe Required State Permits <br /> ❑ Other(specify) <br /> 0 Well )(Electrical <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: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />