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Pees to be Char!ed YES NO <br /> Pormft <br /> Plan Review _. <br /> Std Surcharge <br /> Investigation Fee <br /> SAC—Number og SAC Units <br /> Other(specify) <br /> Square Footage $per Square Footage <br /> Basement X . = . $ <br /> 1st Floor X = _ $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> /Q/� <br /> Estimated Construction Value: $ 7 (QL t <br /> Orono Inspections Required Work Requiring Separate Permits <br /> O Footing 0 Site 0 Plumbing • 0 Grading/Filling <br /> O Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire <br /> O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection <br /> O Framing Other(specify) 0 Masonry 0 Sewer Connection <br /> O Waterproofing/Drain tile '` 0 Mfg. 0 Lawn Irrigation <br /> O Foundation Waterproofing f 'kr4I'V'. 1 0 Other(specify) 0 Landscaping <br /> t,Framing 4 • <br /> O Insulation <br /> 3As-Bulit Survey <br /> pc-Final <br /> O Lathe Required State Permits <br /> CI Other(specify) <br /> 0 Well 0 Electrical <br /> REMARKS (in-house): <br /> New - nth no i i►'o1 ?Scow mut,' . ', , <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 /> v\forms\pian review checklist 10-2016 docx <br />