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Fees to be Char ed YES NO <br /> Permit �, <br /> Plan Review . <br /> State Surcharge � <br /> Investigation Fee �. <br /> SAC-Number of SAC Units (/ <br /> Other(specify) V <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1 St Fioor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> B� <br /> Estimated Construction Value: $ ��,��(� � <br /> � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> 0 Footing 0 Site � Plumbing 0 Grading/Filling <br /> 0 Poured Wall 0 Silt Fence/Erosion Control � Mechanical � Fire <br /> � Foundation Survey 0 Hardcover Removal � Fireplace 0 Water Connection <br /> � Framing 0 Other(specify) � Masonry � Sewer Connection <br /> 0 Waterproofing/Drain tile � Mfg. � Lawn Irrigation <br /> 0 Foundation Waterproofing � Other(specify) 0 Landscaping <br /> . <br /> raming <br /> � Insulation <br /> � As-Built Survey <br /> Final <br /> 0 Lathe Required State Permits <br /> 0 Other(specify) <br /> � Well 0 Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �-S�e Builder Acknowledgement Form <br /> � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> c11� ,1 �.' " �, r� _1���,� �� <br /> � <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />