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VILLAGE OF ORONO <br />RESIDENTIAL AND COMMERCIAL BUILDINGS <br />PURPOSE OF BUILDING <br />OWNER OI NICLG <br />ADDRESS <br />PHONE NO. <br />Sec. No. <br />LAND DESCRIPTION <br />Size of Lot <br />Land Sq. Ft. <br />Elevation <br />No. Lot Block <br />BUILDING LOCATION <br />Dis. From Road <br />Dis. Sides <br />Dis. Back <br />Drainage <br />CONSTRUCTION <br />Frame ✓ Brick, Solid <br />Stucco Brick Veneer <br />Stone Cement Block <br />FOOTINGS d " <br />Depth �5- Least Depth <br />Width -; :2 Below Grade <br />FOUNDATION <br />Construction,'., ) of . 13L /< Size / Z " rf. �- ,, <br />BASEMENT <br />'round Drainage <br />Floor ::- O ^V i <br />Bearing Posts r <br />Size '3 Spacing g' <br />Beams S T . <br />Size f J `s Span <br />CHD4MS <br />No. <br />Type 1, ? 4 <br />Foundation Al <br />Height Above Roof <br />Smoke Pipe — Distance From Joists <br />FLOORS <br />Sub Flooring <br />Joists It <br />Size <br />Spacing ` <br />Bridging <br />Bearing <br />r <br />STUDDINGS RAFTERS CEILIING JOISTS <br />Size Size Size <br />Spacing Spacing Spacing <br />Plates ` j Span Longest Span <br />Bracing <br />EXITS <br />Basement — No. / Size Stairway <br />1st Floor -- No. '2— Size Stairway <br />INSULATION <br />Ceiling <br />Walls <br />BUILDER && a/M r/o d k o N tiNlir. eO <br />ADDRESS T F X"C'C" K &41 a J? A/ (I; /0 <br />PHONE NO.%"/ %6 I —PERMIT NO. G J <br />Addition or Subdivision <br />VENTILATION AND LIGHT <br />Perc, tage of Flcor Area Vent. <br />Perc . .age of Light to Floor Area <br />LINTELS <br />Size L{ k Span - <br />Location �_o <br />WELL TYPE <br />Construction 1 L. L-L 4;1 <br />Location •� .. F <br />SEPTIC TANKS <br />Size <br />Distance From Well <br />Construction <br />DRAINFIELD <br />Depth Distance From Well ; � ! <br />Width Distance From Lot Line.. / U <br />Length / ;o <br />PLUMBING FIXTURES <br />Sinks ?L Shower <br />Laundry Toilet ,5' <br />Bath Tub Lavatorya <br />I hereby agree that in case permit is granted all work which <br />shall be done and all materials which shall be used shall com- <br />ply with the plans and specifications submitted and with all the <br />ordinances of the Village of Orono applicable thereto. <br />NOTES: / ?, - / c/ f <br />Signed_ <br />Receipt No. <br />y A Sr <br />Bldg. $e_ZA'`-41umb. Sewage $3.-J. Total S11%`. r <br />THE SEWAGE SYSTEM INSTALLED BY <br />NAME <br />ADDRESS <br />