HomeMy WebLinkAboutPermit Plumbing 1978-6-23
I ~
:rRS, TL
17-03-24.3.3
Job Location (Street, mile post)
SubdivIsion
107
~.
Plat Plan
1467 CHEEK STREET, SPRINGFIELO
Lot
Block
,
,..
FOR SAN ITARIAN'S USE ON L Y .RSystem Approved D System Disapproved D Needs Correct,on
COMMENTS ~ ~ ~~ JrI,\,\,Ler
.
=
Signature e><'/ ~
Lib" Filler Depth Below0(,le [:. II
Date ri:J.,/ 7R
FOR INSTALLER'S USE Trench Depth
Tank Capacity Manufacturer
Measured distance to well from tan. Ci 7 'I wll1( v
~
)..0 !' w
>-
.' {J I ..
0
..... ~
'l. ~
~ \
" '"
'" \
~'~w ~
~ r-
oo r-
~
-0 -=t
~31 -0 r-
<( 0'
~l! Ol
" .
':=
'" '"
:2: 0 0
.. >-
-- w (/) .
oo
E :r 0
u '" "
'" .. w w
~ Z CL w
~ :r ..
-... u '"
c w z
[g r- - -
'" '"
<( -=t .. 'It
0, (/)
~ > 0, CL
C CD <( CD
N
"'
\0,
\e
k- ql~
\
from drainflelrl
cl1~o(K sT
1':>..
,:> tl:-
- ~
~
r
f
,
~
'=l>
Z(
"I::s
~
'-..
~
'\
'~
~''-l;;, \)"
- -- - - - - - --
1
'- } 5 QI
t" (
~'\.~~ -~J-,,,-/"""rl_ \l./lt>~_
INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed by the'County Sanitarian, this certlf,cate IS eVidence as per ORS 454 665 of sat-
Isfactory completion of a subsurface sewage d,sposal system at the above locat,on
Return this form to Permit Processing Section, Department of EnVironmental Management,
P~b"c Service BUilding, 125 East 8th Avenue, Eugene 97401 C55-"
~~ ,.-
v c ~TRS, TL
r
1- :., .~.. <>-l- _;~
JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot S17~
Contractor's 0 S #
~c ~ 2:.,'
Partitioning #
~( ) Completed
SubdiVISion [\..;-' -~. ,- ,_L-C....l
Lot ~J Block;)
APPLICANT'S NAME AND ADDR"sS
OWNER'S NAME AND ADDRESs
CONTRACTOR'S NAME AND ADDRESs
Mail permit to ( ) Applicant ( ) Owner
llr>C 1. ..:::....:::-_... -~~. ":v ..._...........,...::.~.::... :1'.:7 C'~,::""...~
g~,.?, ..},:'1.si'~C' 1~
Phonp
Phonp
Phonp
-(owner, etc) when ready
/'
,
~,.., ~V);...
3-;:)
~. _ 1:5 ~,"-- ~::j
) Contractor ) Prefer to p,ck up Call
-. ~ '
_-}t; ..~.J..,....
STRUCTURES NOW ON THE PROPERTY
i - '"'r
.... ,_.....
THISPERMITISFOR (
''1
(jVATER SUPPLY
C'':''D~l..''':''
c:::.:.. ~~..;;....:::~ fc ,~::c J,r:::c"
# BEDROOMS--'L# PLUMBING CONNECTION5--
r~
, ..
~)=,'l.e'J:~ 1
SEWAGE DISPOSAl
...... ..,1' '\~ ,..
- ~~~ '--- -
S I #
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
_ PLUMBING BY
~-
Fee Paid $ 2t;.:- J
) NEW ADDRESS
I hereby cert,fy that the above statements are true and accurate, and that I have the following legal ,nterest m thp oroperty _owner of record,
'-
contract purchaser, _ potential buyer, _ realtor or agent I further cert,fy that (If not the owner) I am author,zed to act for the owner of
record, and that said owner IS aware and approves of th,s action I hereby agree to comply w'th all applicable Codes relating to th,s perm't
, .
"
f S'gnature
) FACILITY PERMIT TO TRANSPORTATION DEPT
Dato
2,) SPECIAL PMT AREA
MIN ELEVATION
SAN IT ATION
BUILDING
Type of Construct,on
, Ise Classlflcat,00
Group
Fire Zone
M,mmum Septic Tank Capacity (Gallons)
Dramf,eld ReqUired - Lineal Feet
MaXimum Depth
. . \
Comments \ .. .... :..!11
(')' , I"~" 'I
1- I
,II'
. , ,
.,. ~
,
L .
/ ' ~ I \
Comments
'1). ,
+
'-'
~ Om
PLANNING REQUIREMENTS SATISFIED Bv
ZONE SETBACKS FRONT
By
:. --Ai:' Z',\ ~c;:c
Date
, f' I".
) ~ i J
Date
Date Issued
SIDE FACING STREET
(FROM C/l) INT SIDE YARD
REAR
(FROM PILI
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
PHONE 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
C5513
SLOG PERMIT-WHITE BUILDING-GREEN PLUMB1NG-CANA.RY SANITATION-GOLDENROD, OFFICECQPY-WHITE
.
T!ZS, ;:1..
! ,- ~ - J~{, -;, ~ - Lil7
Job Location (Addre~s)
For
For
For
! '{ ~ ~7 ,(1/" ,0 ~ t s -{- ~
\1' !f\/, iN' " ~r77'1 (P"",";lIj- Permit II
\ permif 1/
C\\ ~~ '(.. P~~!
J I'
For
For
For
Pernnt II /797-7'R
POot PUsn Permit 1'-
rd. Permi t II
SubdlVHwn Su)OJ^-'LC"",t. 22 0Jd1 '
Lot I(~ BIOCk~
\
I
,,>~
r;;\'-'
~"'('
)
I
~
\.r
,. \ \}~
"\?..N?.:i \ ~~
/), /' ~
~ , I ......
I " ,II .......
:\:j
I( ,. '-0015) -
I I ~ I
, AJ ':.3 G)''1
,
, -
Vicinity Map
i
I
,
I
I
I
,
^
"
Q
,0')
01.\..10'0
"
^
&
, r
"""'- \ -""-.,~'''''' , S'1
IL~ (g ;}tQd-or, 58
-
.'
'-
C>
"
W
'-Cl
I 00
d
o
I 'd S ocl
Qtj
-
<J~\\ IL'>:
f
{'o'\"""\J.
C74-150
N
(
-
,'Ch
>(
'<l
. (JJ..
\ .
.
f
"
~
~
t
J:
,
,
,
I
I'
I
I
...1
~(
~
[
'-__
I
.
>:
.....
-
-"
~-
~
:..';-"l.E~ _ ____
10 qo"l
s
F~"ce
I I ! j
, 'I '
1--'-- I ' ,
__ ' --;---~ I t
~ \' ~ l~ '
( "Pra1-oc,,~d i ! i :~
, POD L' ,
)
~
I
~
/" ;t
"I:
,
I
VP ~ ' 0
"
(;A:e4.-<j [.
I-I 0 (,L~ L
~
3: I ""So
...... '" " ';0
~ s:~ ")
.....; z t
Q -
~....... ~ HP
~~Q V
~~ t
Cl.f ....- / "-
>/0 Il<:
D"'f'lI"l~'Lk./ A
<:
'/'16'7 ChEEK
;)pR1n9f,JrI
9t) / .
~-
N
,
,
,
S'7 ~E:~d
I
,!
i
,
I
I
'~
-,1'
I I
; I"
.,
I~
r>
, 11.
, {
(
, (
(
(VI
--IGifhl- - _ _ -----..
FE.NOe I
r
- --I
,
,
I
,
,
i