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VILLAGE OF ORONO <br />RESIDENTIAL AND COMMERCIAL BUILDINGS <br />PURPOSE OF BUILDING <br />OWNER T /`` a 6- <br />ADDRESS ,A'' r ''� ,e , L . C <br />PHONE NO. &/�. 1' 9 S t-4 �//!l <br />Sec. No. Parcel No. Lot Block <br />LAND DESCRIPTION BUILDING LOCATION <br />Size of Lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dis. Sides <br />Elevation <br />Din. Back <br />Drainage <br />CONSTRUCTION <br />Frame <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS , L j�- _ <br />4 of S <br />Depth b <br />Least Depth <br />Width Ze <br />Below Grade H �-- <br />FOUNDATION <br />Construction t %� <br />Sias <br />BAST <br />Ground Drainage <br />Floor <br />Bearing Posh Z % t/ ,) ! Size <br />Spacing <br />Beams T, Size j0 <br />Span ' <br />—CHIMNEYS <br />No. '/- <br />Type <br />Foundation <br />Height Above Roof <br />Smoke Pipe — Distance From Joists <br />4F.__01J:] <br />Sub Flooring F , <br />Joists <br />' <br />Size' ` <br />Spacing <br />i <br />Bridging / <br />Bearing ' <br />�(. P :; <br />, <br />STUDDERGS <br />RAFTERS <br />CEILIING JOISTS <br />size 'I y ' f <br />size <br />Size . <br />Spacing n <br />spacing <br />Spacing <br />Plasm j <br />Span / <br />i Longest Span / 2 <br />Bracing <br />i Z <br />Basement — No. Size i Stairway <br />1st Floor — No. Size Stairway <br />INSULATION <br />Ceiling <br />Walls <br />BUILDER <br />ADDRESS <br />PHONE NO. <br />PE DaT NO. le/ <br />Addition or Subdivision <br />VENTILATION AND LIGHT <br />Percentage of Floor Area Vent. <br />Percentage of Light to Floor Area <br />Size .' ' N <br />Span <br />Location r� n <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANKS <br />size A — ' ' o o <br />c- G <br />Distance From Well <br />Construction <br />DRAINFIELD <br />Depth •3 <br />Distance From Well <br />Width 2 `f <br />Distance From Lot Lines <br />Length / - j <br />PLUMBING FDITURES <br />Sinks / <br />Shower / <br />Laundry <br />Toilet .. <br />Bath Tub / <br />Lavatory / <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: <br />L v' <br />Signed Iir�i, ".G �1 .•' _':�� <br />Receipt Nola G <br />B14 sZ—OL-1 Phrmb. Sk" Sewage Tow f a p 1� <br />THE SEWAGE SYSTEM INSTALLED BY <br />pff,(VI <br />NAME A' n!.A L: AW., .% A/ CAL. M' G -W A .. ; <br />ADDRESS r r3 I '-, "'!/ K. 'Y <br />