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VILLAGE OF ORONO BUILDING PERMIT APPLICATION <br />PURPOSE OF BUILDING <br />OWNER-70..SS ELY N D WACA S BUILDER <br />ADDRESS w Ay � .r -A I'r / 'Z x/ -- ADDRESS 3o -i gAZP MIT N2 1 151 <br />PHONE NO. CLQ �. 0xot PHONE NO. f= 6 - h P L S <br />Sec. No. Parcel No. Lot Block Addition or Subdivision <br />��-d0 1 141 L-&-- o - WAV M AA/ 0-12 <br />LAND DESCRIPTION BUILDING LOCATION VENTILATION AND LIGHT ' <br />Size of Lot Dis. From Road Percentage of Floor Area Vent. <br />Land Sq. Ft. Dis. Sides Percentage of light to Floor Area <br />Elevation Dis. Back LINTELS <br />Drainage Size Span <br />CONSTRUCTION location <br />Frame <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth <br />least Depth <br />Width <br />Below Grade <br />FOUNDATION - Construction <br />Size <br />BASMVINT <br />Ground Drainage <br />Floor <br />Bearing Posts <br />Size Spacing <br />Beams <br />Size Span <br />CHINWETS <br />No. <br />Type <br />Foundation <br />Height Above Roof <br />Smoke Pipe—Distance From Joists <br />BOORS <br />Sub Flooring <br />Joists <br />Size Span <br />Spacing <br />Bridging <br />Bearing <br />STUDI INGS RAFTERS <br />CEILING JOISTS <br />Size Size <br />Size <br />Spacing Spacing <br />Spacing <br />Plates Span <br />Longest Span <br />Bracing <br />EXITS <br />Basement — No. <br />Size Stairway <br />1st Floor — No. <br />Size Stairway <br />INSULATION — Ceiling <br />Walls <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANKS <br />Size <br />Distance From Well <br />Construction <br />DRAINFIELD <br />Depth Distance From Well <br />Width Distance From lot Lines <br />Length <br />PLUMBING FIXTURES <br />Dish Washer <br />Sinks Shower <br />Laundry Toilet <br />Bath Tub lavatory <br />1 hereby agree that, in case permit is granted, all work <br />which shall be done and all materials which shall be used <br />shall comply with the plans and specifications submitted and <br />with all the ordin!,nrea of the Village of Orono applicable <br />thereto and s!eall include all additional specifications as listed <br />below. <br />Signed `t / a <br />OWNER Oft AYn10R11E0 AGENT <br />Date <br />Bldg. $ 4-'41 Plumb. $ Sewage = <br />Site Examination S Well <br />PLUMBER_ _— _ WELL DRILLER <br />ADDRESS ADDRESS <br />SEWER CONTRACTOR— <br />ADDRESS <br />ONTRACTOR— <br />ADDRESS / <br />Total S -4, �1 <br />