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Fees to be Charged • YES NO <br /> , Permf ,, a .� , _ x ,� t --:,-44, <br /> Plan Review V <br /> ;State Surcharge eU'r' _ <br /> Investigation Fee l`./' <br /> SAC-Number of SAC Units ,: ''.., '' K <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement f 2-8(e X 87,4LZ = $ f iZ-, 9ZZ., / <br /> 1st Floor /Z-8(e X /0 3-?Z-. = $ 133 le 41,1 Z. <br /> 2nd Floor / .-.V X 103 • ?z. = $ llel) / 7c-j. `!Z. <br /> Garage 9-8 ct x 3 °fe 9-q-- = $ / �/z.8&., /(P <br /> Estimated Construction Value: $ / 000 <br /> --- <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing ❑ Site Plumbing <br /> 0 Grading/Filling <br /> Poured WallSilt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal ,Fireplace Water Connection <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> .Waterproofing/Drain tile , Mfg. 0 Lawn Irrigation <br /> ❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> IF0raming <br /> Septic <br /> Insulation <br /> As-Built Survey <br /> Final <br /> Lathe Required State Permits <br /> ❑ Other(specify) <br /> 0 Well )2(Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ❑ 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 />