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Fees to be Charged YES NO <br /> Permit <br /> Flan Review L �^ <br /> Stat Surchatre <br /> Investigation Fee <br /> SAC-Number of SAC tin V <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> V Floor X = $ <br /> 2^d Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 5:0 9,I.7f 1t ✓ <br /> Orono inspections Required Work Requiring Separate Permits <br /> - Footing tS Site Plumbing O Grading/Filling <br /> Poured Wall ,Silt Fence/Erosion Control Mechanical 0 Fire <br /> oundation Survey 0 Hardcover Removal Ft Fireplace 0 Water Connection <br /> © Framing 0 Other(specify) 0 Masonry 2iIC Sewer Connection <br /> Waterproofing/Drain tile )<Mfg. 0 Lawn Irrigation <br /> : Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> tlir Framing <br /> Insulation <br /> As-Built Survey <br /> -; Final <br /> --. Lathe Required State Permits <br /> O Other(specify) <br /> )(Well Electrical <br /> REWIARKS (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. October 2016 <br /> vlforrns\plan review checklist 10-2016.docx <br />