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' Fees to be Char ed YES NO <br /> Permit � <br /> Plan Review (/ <br /> State Surcharge (i-- <br /> Investigation Fee � <br /> SAC—Number of SAC Units � <br /> Other(specify) � <br /> S uare Foota e $ er S uare Foota e <br /> Basement r X = $ <br /> 1� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ G `�,��� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> 0 Footing � Site �,Plumbing 0 Grading/Filling <br /> � Poured Wall 0 Silt Fence/Erosion Control �Mechanical � Fire <br /> 0 Foundation Survey � Hardcover Removal Fireplace � Water Connection <br /> 0 Framing � Other(specify) � Masonry � Sewer Connection <br /> � Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation <br /> � Foundation Waterproofing � Dther(specify) � Landscaping <br /> Framing <br /> Insulation <br /> 0 As-Built Survey <br /> Final <br /> 0 Lathe Required State Permits <br /> � Other(specify) <br /> 0 Well � Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> � See Builder Acknowledgement Form <br /> �Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Q Il � �kZQ01 GY1�0�.- �bl i fY1 ' <br /> q- �� , <br /> �I�Se�, <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />