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Fees to be Charged YES NO <br /> Permit V <br /> Plan Review V' <br /> State Surcharge (— <br /> Investigation Fee V` <br /> SAC- Number of SAC Units J--(1411- <br /> (- <br /> Other(specify) L.---- <br /> Square Footage $ per Square Footage <br /> - <br /> Basement 01 `Z 05" x gr.q-Z, _ $ /K ,311-/. /0 <br /> 15tFloor 1Z©c X //p3- Q?.Z- = $ ) 0.3) Z.L3. (�1J <br /> 2nd Floor /, I 9-16g x l :9: .11 Z- $ / &11) 'U .C(Z, <br /> Garage�'9J CI 8' x g7.% L- _ $ v-1) (,88 ,oo <br /> Estimated Construction Value: $ C-/ 015U' <br /> J <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site Plumbing 0 Grading/Filling <br /> Poured Wall /Silt Fence/Erosion Control $ Mechanical 0 Fire <br /> Foundation Survey - 0 Hardcover Removal ,D-Fireplace ater Connection `.' " <br /> 0 Framing 0 Other(specify) 0 Masonry Sewer Connection <br /> Waterproofing/Drain tile , Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing 0 Septic <br /> AInsulation <br /> As-Built Survey <br /> A Final <br /> O Lathe Required State Permits <br /> O Other(specify) <br /> /)<Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0.-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: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />