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VILLAGE OF ORONO <br />RESIDENTIAL AND COMMERCIAL BUILDINGS <br />PURPOSE OF BUILDING <br />/ n �- t., <br />OWNER -In.z : t'� ,f�:- • <br />ADDRESS <br />PHONE NO. <br />Sec. No. ParcelYNo. <br />Lot Block <br />LAND DESCRIPTION <br />BUILDING LOCATION <br />Size of Lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dis. Sides <br />Elevation <br />Dim. Back <br />Drainage <br />CONSTRUCTION <br />Frame ✓ <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth '12 '' � <br />I � � <br />Least Depth i <br />Width Z, I/ y <br />Below Grade <br />FOUNDATION <br />Construction c:.� I;(, <br />Size <br />DJ1MMMENT <br />Ground Drainage <br />Floor .. -2 <br />Bearing Posts <br />Sim Spacing <br />Beams <br />size Span <br />cis <br />No. J - G a A/ , <br />Type MA' ' <br />Foundation C, d A/. <br />Height Above Roof <br />Smoke Pipe — Distance From Joists <br />FLOORS <br />i Sub Flooring F i <br />1 jobs t <br />Size X 0 <br />Spacing / G <br />Bridging I �� <br />Bearing 0. r4 ; 2 . <br />f STUDDINGS RAFTERS <br />CEILUNG JOISTS <br />Size 2 <br />Size Z /� G size -/ A <br />Spacir <br />Spacing N Spacing <br />Platt <br />Span / 3 Longest Span <br />Bracing N <br />EKITS - <br />Basement — No. Size D Stairway ' j • ci <br />1st Floor — No. <br />Size ,� . Stairway <br />INSULATION <br />Ceiling "3 L-p <br />Walls f - (,, , <br />BUILDER <br />ADDRESS fi <br />PHONE NO. PERNIIT NO.? <br />Addition or Subdivision <br />VENTILATION AND LIGHT <br />Percentage of Floor Area Vent. <br />Percentage of Light to Floor Area <br />r <br />LINTELS <br />Size Gf ,t / 2 <br />Span / <br />Location <br />WELL TYPE <br />Construction <br />_ <br />J k-- <br />/ <br />Location 6 i% f, <br />P <br />T <br />SEPTIC TANKS <br />Size <br />Distance From Well ` <br />: ,7 <br />-1— <br />Construction , ) r <br />�� •: T <br />DRAINFIELD <br />Depth 1 <br />Distance From Well j �- <br />Width <br />Distance From Lot Lines <br />Length y r' <br />PLUMBING FD[TURES <br />V 2 1,; <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 />Signed <br />Receipt No -le 22 fah ! I �"f S 7 <br />Bldg. $,21-- "lumb- SZ-3-0 Sewage S �`l'otal S3S . <br />THE SEWAGE SYSTEM INSTALLED By <br />NAME_ 'f L_ <br />ADDRESS--- <br />