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VILLAGE OF ORONO <br />RESIDENTIAL AND COMMERCIAL BUILDINGS <br />PURPOSE OF BUILDING <br />OWNER HS N IZ J �� T R U,6L L /Y BUILDER i <br />ADDRESS ' / `T 2 �� , �. l 4'� L li r>L- 4 ,' ADDRESS <br />PONE NO. ,:._ ,Z 1y y / PHONE NO. PERMIT NO. �7 ?,V <br />Sec. No. Parcel No. Addition or Subdivision <br />c <br />LAND DESCRIPTION <br />BUILDING LOC ION <br />Size of Lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dis. Sides <br />Elevation <br />Dis. Back <br />Drai-cage <br />CONSTRUCTION <br />Frame <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth Least Depth <br />Width Below Grade <br />FOUNDATION <br />Construction Size <br />BASEMENT <br />Ground Drainage Floor <br />Bearing Posts Size Spacing <br />Beams Size Span <br />CHIMNEYS <br />No. Type <br />Foundation <br />Height Above Roof <br />Smoke Pipe — Distance From Joists <br />FLOORS <br />Sub Flooring <br />Joists Size <br />Spacing Bridging <br />Bea,:ng <br />STUDDINGS RAFTERS CEILIING JOISTS <br />Size Size Size <br />Spacing Spacing Spacing <br />Plates Span Longest Span <br />Bracing <br />EXITS <br />Basement — No. Size Stairway <br />1st Floor -- No. Size Stairway <br />INSULATION <br />Ceiling <br />Walls <br />VENTILATION AND LIGHT <br />Percentage of Floor Area VL <br />Percentage of Light to Floor Area <br />LINTELS <br />Size Span <br />Location <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANS <br />Size <br />Distance From Well <br />Cc .struction <br />DRAINFIELD <br />Depth Distance Frons , 11 <br />Width Distance From IA t Lines <br />Length <br />PLUMBING FIXTURES <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 nll 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: 1,2 - <br />Signed <br />'L <br />Signed41� "kj <br />s <br />Receipt No.2 1 <br />Bldg. S- Plumb. S Sewage__ _ Total S S v <br />THE SEWAGE SYSTEM INSTALLED BY <br />NAME <br />ADDRESS- - _ —_.-- - ---- --- <br />