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Fees to be Charged YES NO <br /> Permit t/` <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee /' <br /> SAC—Number of SAC Units C/' <br /> Other(specify) l� <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 151 Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> CPO <br /> Estimated Construction Value: $ 2- Q 62t <br /> Orono Inspections Required Work Requiring Separate Permits <br /> ❑ Footing 0 Site Plumbing 0 Grading/Filling <br /> ❑ Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire <br /> ❑ Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection <br /> O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection <br /> O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> ❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing <br /> Insulation <br /> ❑ As-Built Survey <br /> Final <br /> ❑ 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 />