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HomeMy WebLinkAboutPermit Septic Tank 1976-11-12 ,ji ;i~/,~ I ~~ ......,~.. 1,'- LANE COUNTY PERMIT FOR: PERMIT NO, /1# fB.3<"?~ CONSTRUCTION [] MOBILE HOME [X] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] o Owner ~~,_"'_A" '7---;,.,....."',0 _.:t 7Y~o ~L..s:9glO '" J "",...&';_.1... Rr; -::!:""Z:;.r.f>r> "':i'&'U:..<<> df'n.,M NAME- P .. ADDRESS .... ~. CITY~- , . ZIP CO"D'E" .- - v P'HONE- ~) I o Contractor NAME ADDRESS CITY ZIP CODE PHONE O.S.. Reg.. # Twr J e Range ,{!f);L- Section d;} Tax Lot J! I!? If!') ,f Code Census Tract Subdivision Lot Block Acreage ~? Width Access to Property (Road Name): DI:t:t.....A_L? J:) /I.,.. ~ - , -,$}-", s- Depth Existing Structures on Property: A~d~ . I.I.'~ ..... .r".- ...... ../?irections to Property - Address: "'" S':6l~l\ STRUCTURE (# BEDROOMS) '.. . ~ iF_A _b ~AIi..... JfOi' M.... l!!JI IA_ /!? ". '''-!lor' B . J ~d -.).: (' '6 ') ~ , /l . I f<bkd SQ, FT, Ot:1"-D~~ A~- /;f".t\A "" AI~ fI .. .. . --, -" ~ ~ - . ~ .. ftY'~ en 4- -:-n VALUATION - Av1.... ~ CF' "v - . #"td J!? ,,~,.., JUG!: F1> .... .. - !:' ,~ .. .~"'I . L. ,I ./t~ ~ M.r:>>",''''' ~A Il' - - r- !!"'.. I '" """" I L1~ ...._ ~ b ~ SEWAGE DISPOSAL: PLJBLlC [j SEPTIC TANK [~] OTHER [ ] BUILDING PLUMBING 3% SURCHARGF MOBILE HOMF' WASTE DISPOSAl PLAN REVIEW ;""'" <::'> iT ....... ~ ".21 EJ "i '/ -:..; ~ !2t/L/;f ~Ad CONSTRUCTION PERMITS & INSPECTIONS ANBWATER 'POLLUTIQN CONTROL SPECIFICATIONS MIN, SEPTIC TAN.K~CAPACITY: GALS. !lffJO ,r,jj;ifJ~. MIN. DRAINFIELD ,L1N. FT. MAX. TRENCH?ERJ"t1 . INCHES/J fl . f" 1(; -Y!r1 M,...'JLGLI 'l~A g J M!l.AM... M j ('A"nnA~LJJ. ~ I J}jlili;t~A .. <}} ( f J!Y.. rf...A.&.,.~~A((/JlL . 'AI v -n I J 11 - a --:':0- - ,-. I! . _ . "' ......F'" ( Y' ~ -, -- i\JL /l g' ~..,.._ V~A rf'A..9..Y, (")l..l..i"'"""'.....,,_.AA~..:_~I1, <2_ .Il./)..A..AAA......>>- X- P;",AJ.J?1-^ 0 ..,..,.....J.AW .~c.,,-- r~ti(.n1,JI V./"",,- -H;:A~/~':-P--:Ak~j Att/jj" - ~ -f STAY100'FROMALLWELLS TYPE' aF CONSTRU'IC;-;ON .... - GROUP F''{R''t ZONF J USE CLASSIF. &J ~ ~~ f - .JJt S" 6J TOTAL SETBACKS - FT, FROM CTR. OF r!W: FRONT 4F"oP"lJ SIDE EXT, =" FT. FROM PROP. LINE: SIDE INT. J ~ REAR .~/I? Z 0 N F .-:.3 ,;:P = .::J /:) , 7" t.. /0 (f,f j' ...&<r 111/ ANi I'll €'" AUTHOR IZED SIGNATURES: /s/ ~ ///S/7~ r ,. /:'..., BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING -CANARY BUILDING - GREEN SANITATION - GOLDENROD Di: r^itP"_nr4~i~""" 4........_ ..d ""~A""",f('!"'AA~ .A __ IIAI AJ-"1A.AlW..-I')11::1 "'t'.:t.eIP.Q'P _ _ r~. ~ ~_ ~ .. . 'w "','" l-. ';.";,-_ ". ')'. yt1' ISSUANCE DATE:, 'I~ " ./t} '~A'",c_ II-!r)' 7(... ()C AAAH1-.d I.Lu.' (r2; ~,..fl:' /'J v~ .._~ - d' -" ;- -'.. c,-,"'; 1_ I. A .,tfr11.! -. Call 687~4065 to schedule all required constructioninspections. Call 687-4061 to schedule all required IMPORTANT: septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of, occupancy before being occupied. (See Details on Reverse Side) C55.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 dssuce,cL !//./Z-/9h (POST THIS PERMIT ON MAIN BLDG. AT SITE) TllS, TL It::? -,r?::J..-/C) -r-.t- /00/ Plat Plan ~ . ".m ~._- c9 ~~~~~ ~ -dl-: b?-~ ~ ~/Lh II /.s;/?~ H JI' ,.\ i ~..., ::11 '1~ I ., I 'I, . . Vicinity Map Job Location (Address) pp., I V,,<17'" P ~ ,...., E.P Permit I i1. H ~'g3 -76 For Permit " , For Permit # For Xs p;;p - 1- ('>,,)FLL R<'7,q 0 Permit # For Permit # For Permit # For \ ~\ . ~ y ,- ~o......,.....~ ....1 'I . -/ \ ", :"'~'l.o:..:"" " .-:--<- _, ~ rp-~ )-,,:~ ~ ~ _ I,;,.,n r,'-' ~ " o ~ ~ -, , -~. ~~.Jy- '::-~. /? erl-"c.E....,vr t:> F B (/ I'? A/(; 0 D C4,Je!" L-' IA/ , ~ ~ l'( 'II<) I ~ ye>I ., S" t:' 'I ' l\ )- ... "' - I