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. •� <br /> � :� <br /> � <br /> � <br /> ,� �-=��1�1 � <br /> BUILDING P � � � <br /> I ���,�-��� r� <br /> Requirements to be han nclude: %�l <br /> . , eiJ <br /> 1. Building Perm <br /> _... _,._...w <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 <br /> � ����� _� <br /> � <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 <br /> i( .[ <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 <br />