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Fees to be Charged YES ' NO <br /> Permit <br /> Plan Review — <br /> State St i <br /> Investigation Fee v' <br /> SAC—Number of <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> ' 1st Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ /.) 3©0J 000 <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site Plumbing 0 Grading/Filling <br /> EL Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal pir Fireplace 0 Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> 71:(Waterproofing/Drain tile jig Mfg. 0 Lawn Irrigation <br /> '0 Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Yie Framing • '7 KSeptic <br /> Insulation / <br /> *As-Built Survey <br /> Final <br /> X Lathe Required State Permits <br /> 0 Other(specify) <br /> XWell 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 />