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<br /> BUILDING P � � �
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<br /> Requirements to be han nclude: %�l
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<br /> 1. Building Perm
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<br /> 2. Mechanical Pe � on plan
<br /> 3. Energy Calcul �— / ] � sides)
<br /> 4. Furnish Septi � 1 �1 1 I �� ,( oss sections
<br /> 5. Furnish a Cer J � � `��� nd any special connections
<br /> and grading a ��
<br /> 6. FUrnish 2 set �
<br /> a) 1 set fo � �
<br /> b) 1 set fo
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<br /> Work beyond oz vithout a required inspection wi11 oe suo�ec� �� a y���o���
<br /> CI'C1' l'SE 0'tLY_ S I'1 C. .�. .%_!r;`5S _ ���il1a_ -�Sl.�r10
<br /> f�UILD1'�G PEicM1T '— J} --�--- ---------- -------
<br /> N O. DATE IEGAI DFSCRIGTION.VHOP.I[T� _ _
<br /> LOT 9 pl(K.K _ _. SUBDIVIStON
<br /> zor:iNc�isTHicT 5ec��on. !$, Tow�rS' ;� t(7 N, A+► e �3 WGiJf
<br /> !.�� + WN�Av1 �, �ame) / (Address) � (Phone) y�;��
<br /> fiaE ZONE `�_�� . �M�,��.- 39� GlJ,A��cn � �A ���.a ✓hn SS 39(
<br /> '� �'`��'' `�"'" �� ARCHITECT/ENGINEER — Must Certify Multi-Family Commercial & ndustrial Construction Plans
<br /> VAR.DATE h � �I � �S�S �
<br /> � ERT.NO. ��1�+�,am GAa►,�, 7aG.2 ,(Toa� !�'/c /y yo�ri iy�,��r
<br /> co�:o �sE onrE ., (Firm) '
<br /> (Address) (Phone) eu�,��;k
<br /> LOT FREA t"'.._p �v F �c,, y�
<br /> _, : Clao�e re 7� m<o�.>>rL �`�/J-..L� /��� �1 ?.6 7�A ssSY't/ �3/_
<br /> V�IDTH � DEP�1
<br /> 3/7
<br /> � '' � � --- BUILDER (Firm) (Address) (Phone) -Y�S=afT
<br /> �FOPOSEGSETB�.CKS
<br /> i ftBN.�r--�--P,.iIDE
<br /> N. / 1-51DE
<br /> ,.�c.�-' `_ ' TYPE OF WOP,K New Addition Remodel Renovate
<br /> LAKE ' WETLANDS
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<br /> F C�6ES5� �i' ,, �L�, —
<br /> NEw ExisTiNc CONST.TYPE BLDG.SIZE EST.CONST. VALUATION
<br /> LGENCV-APPROV.DATE
<br /> c�,;� — �. 3g' w. ,30 � Ht..2�o�t '�` �ddo
<br /> co::r:rv —
<br /> RESIDENTIA STORIES B 1 � 3
<br /> STATE S�,asoRc 1 es�J�x�'al '�''�"�"s: t
<br /> PH Er.sE^'EN bWELL. BDRMS/FLR 1�
<br /> UNITS 1 a �ro��e,+(�yy(s �, �t•�^
<br /> __ _ GAR.STALLS SEPTIC
<br /> PERn�iT FEES �j J 7�, ATT. APP. DATE � � `�
<br /> 9LGG.PE RMIT �v.J� NOJIR-- � ' � � ^�� � (
<br /> sTnTE FEE �D0, G o DET. D V
<br /> DOCK GQ �
<br /> PLC�N REVIEW 3y r.�� \
<br /> NON-RESID. PROPOSED USE
<br /> PENALTV
<br /> PARK FEE r
<br /> SAC CHARGE B � y_ OCC. Sp,p,�dILA/ a"CS�U�7L iA.�
<br /> C L ASS.
<br /> I� . �� STORIES COUNCIL PE� p�D, 2� I'l:-��
<br /> TOTALDUE -
<br /> ,S_f ��) APP. DATE �NN. CODF` �0,31 ��,�C� �i��f
<br /> INSPECTION HEDUIRED WORK REOUIRING 'I'he undersi ned here6 rr,akes a lication for a building
<br /> FOO71NG4�lur�p.��r SEPARATE PERMITS S Y pp
<br /> FNAMING,�.,,,�,� permit for [he work described, agrees to do all work in strict
<br /> INSULA710N PIVMtlING accordance with [he ordinances of the City of Orono and rulings
<br /> WA�IBUANpBdp�rw��a MtC11ANICAL of the State Building Code Division, and declares that all
<br /> `"E`�— facts and re resen[ations stated n are true and correct.
<br /> F INA L C�lor�o¢uW ncY - v
<br /> SE�,�� woe�cr�.11� `'
<br /> WORK BEYONO OH WITI/OUT A RE� SfWCH �
<br /> OUiqED IMSPECTION WIIL BE SVB� WATER ��'�(p ��•
<br /> JECT TO IEHALTV, (��S /�
<br /> (:RADING 6 F Il IING � �
<br /> 24 hour notice —
<br /> _ _ , Date ena re
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