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HomeMy WebLinkAboutPermit Building 1979-2-23 ., . POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: 3703 Garden Avenue, Springfield, OR CONSTRUCTION PERMIT # LQ-HH-348-79 TRS, TL: 18-02-06-4-2 TL 700 Subdivision: na This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed, Violation can result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other remedies allowed by law, Applicant/Address: Owner/Address: Contractor/Address: Contractor's OS # Fred M. Anderson, 2295 w 22nd Street B, Eugene, OR 97405 Nancy Hodges Stapps Mobile Home Sales 97402 888 Total Construction Value: na Telephone: 48S-22B6 Telephone: Telephone: none given * .nstruction approved by this permit: PLANNING DIVISION '!'Jater Supply: exist1.nll well WATER POLLUTION CONTROL DIVISION Doub1ewide mobilehome, 52x24 , , 197B Homette. Structures now on r.~r~-ty: pumphouse. # Bedrooms: # Plumbing Fixtures: na # Employees: 3 na Zoning: Ac:r Partitioning # M 312-77 Parcel # 2 Minimum required structural setbacks, from: centerline of road, front: 50' side exterior: na ; interior property lines: 15' ;rear property line: 20' Special Instructions: Replace HH 297o-7B. (Waa never set up.) For information call 687-4394, Donnal.." Meill:s Parcel Size: ; centerline of road, 5 acres gal. min. septic tank capacity; Site Inspection # na Installation specifications: na na lineal feet of drainfield required; max. depth of trenches: na Special Instructions: Connect to system 1.nstelled per MH-297o-78. Reserve replacement area. Setbacks Septic Tank .erior property lines 10' ge of road right.of.way 10' Building foundation 5' Wells, other water sources 50' CONSTRUCTION PERMITS/INSPECTION DIVISION Directions to Site: Drainfield 10' 10' 10' 100' For information call I>1I7_'1%,between 8:00 - 9:00 a.m" t::>'eg Gr,,~ Type of Construction: HH Group: HH Fire Zone: 3 Use Classification: SFD Instructions: Provide footings and piers to comply with state foundation requirements for mobilebomes or as rec."".....ded by the manufacturer that are attached to the inside of the mobilehome. Also r-- ..Lde skirting as required. See reverse side for called inspections. For plans information call /;117-37(,,7 between 8:00 a,m, and 9:00 a,m" Jim Lamb For inspections (see back of tnlS pl!l"llml call 687-4065 between 8:00 a,m, and 5:00 p,m. DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By: bne county . Date Issued: Garden Av_Jasper Road to Laure1-Garden Ave. John Smeed/1jf 02-23-79 C55-13 ? /[) \'.. 5~'''' iJ- Job Address ::q,(l3 G", tr ri 0 LY'. n I )(' . CHy, ~1, """- (I, Township, Range, Section, Tax lot ~t:,-a:+ -0,"-<> '......~ ,II ,'-'.(~7 ~OO ') 07 Subd1v1s1Qn - I ~ ~ lot 81o~ ../ Application for ~ g e....y,~, L/l(ll'O JfY\ 0 Ib.-+ Structures now on the property l ()l~l,X<'". !Propo.ed w;e:;[' perty: dllostd~n\jal U ColmIercial () '!ndust~1ai: o PiibficT Aff,davit: , -#/7/ %1 ~ ~ ----.. , hereby certHy that this 1nfonnat10n 1s true and accurate, . ,.:v- , p p.ase pr1 . If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and Lane County Code Chapter 10 (zoning) and for no other purpo'i)!, I have the fOllowing legal 1nterest 1n the property: owner of record; contract purchaser; ~ lessee; holder of an exclusive option to~chase; duly authori~ to act for the ,ner, who is knowledgeable of this application, c:::::L'" " Signature/Address ~~od AL-: ' . _ .Q~cr.<=; (...1.~~2 ;::'"'[' ~ ~ ('6 Telephone 5-27 or,;;---" ~ Date (;1Jez..,l:"') - _ When pe.mlt Is ready notify: C,/ APPllC, ant.... () Owner (Er1ontrl-ctor : CI mail ,(If phQne. :J OImer . N~'a:lQ>R5Y :EiE.1 "V", Contra~to~ . M~ 10 ttnvvu? J ~,lO--,"2[ (ziDl~ Phone ector's OSR' ~'X P~ing by 1.H-(,f} ~~j;('~~~-~.l'':;'I~~',.-" 00 NOr WRITe BELOillH1S LINE' l.. U ~ , of employees - , of un~tl' -~ (b~';-''I. A sos: /~Ex1st1ng,~ ~ CI PropDsed, SI' !oJ-A, \:6 , 1\ \ ( .' DEPARHIENT OF E1lV1RONI~ENTAL rlANAGEMENT. PSB, 125 EAST BTH AVENUE EUGENE, OREGON 97401 l~llceTt&l.":~ r{\\~: ~fR~ 'Asligned '...'''' ., ,.~ ~,,,.,,.,.--~ if Conrnercial: , 0' Itories ~.A , 0' bedroDlllS .3- SI test hDles ready "-1. A rtesidential: Fee ~ Descriotion Sq. Ft, or , of Sites ,unit, W!,' Valuation Fee J."X!Y. Lt">1 () j J If d. 0, ~Cb D ICr7A ~() l u, V\f'Iyyu), (, ~)C~ ~ S S S , , ~ash ~ L/ Check' Rece1ved by \...)~ Total Valuation; S Plumbing fixtures at S Sewer/water conn. at $ each each S ~\~u~ $ $ $, S S $ ~~ $ s.., \ SubtDtal &s:tvn'(J UJeJL 4~ State surcharge Plans check. fee Minimum setbacks: P (',~ '- ~ ~ ~_"'-Qf ~~y 6\d~ \,' \...rce~~(pa';{;l',~e, ,sid. .--/;~; Intl \).Y; rea NC)' c::.<\' \D ,,\,~ \ / ~ ~L --~ I....~~"'\\ U ) c.-'~ / By V ..:Jr.-,,'LV Date ~/ \ '~_ Use Classificati ~ , TOTAL PERMIT PROCESSING (bnments Q.p ,,\r.C.F To be typed on permit ~...p..,,\ ." p---",- __~ CP&I Type To be typed on permit Group Fire Zone ,0 f.R ~w ~ - By _,~'? Date ~~%2.-7c:r For plans informatior<"':ll (area ins~ctor) ~ ~...Jr "'.~" J:: Phone - 3?:f!~" , D,ec t ions to site '- ...;- CO v r\ oC>"", ( 0 0 \ c.. -,- ~ CQ c::. 0'<'. R c .:> LrLU . --e..JJ - l ~o ~ A>~ (.) I \"7'- '" . ' Plans to: CP&I set(s) Date Hold Slip Date Date tD WPC --;- set(s) Required to PCC Completed PCC T C:;/~ ~/,;;LI :~ LiApc C/ Planning C/ Pub Ii orks /:.. levation /~ A.dd res s C/ Facll ity Permit /~I Environmental Health ~ C74-171 ... :stPO db .' "1-'""' .- -_":~.,;-_.~--_.-~ ~:: ::::: . Namc .' \-hrlJ~'s Application IIj.A It ~I-{ R - 1. Cf_ for .( \. . IPhnne: \ . . ~.. .Dw &41 'X 5' el' WORK SHEET Construction Permits & Inspection MJ.r Type of Construction M \.r Group 23 Fire Zone ~ Usc Classification \, .' ,1 (;.QPY of -r:: r0 "l 'P P f/1"rJR1, -S ~tJ 17 eB,M n (--a...'Vy, I) :ro RF'I'VPl'DON PF.R~ITT/PROV\l)r-1 C::()()""'I.\l'1~ laJ..,D 1I1v.R~ -10 (/nM"PL.Y .ull.1"/y ,~~ v()\n.Jj7t\t1'\11\ "R.?:Q\)I"R~"^b,l:fb 1/0R MCWJ\IJ~ \X'(),,^~.1-'L1? .16 'K~((')"'^ Mv[\)f)~D flv ~lXe MD<.~\\fA(Xi)'R~\.( ;{~(: . }i'{{AtJIv-O ~() -1H~ '.ti6.IO~ Of ,(llILf,^"()0\v~ \A'oMf/ MrJ 17Qo\.IJ06 "jl(\~t1""I~ A;'J I<~Ol )\iZ-0\). .'J~~ ~0v~9.,~t- .~lO~ ~15"Q c.,k\/IJ~(/ I \.l/){I'~ V( 10 U:'\ , ' - Date ~--L~-7f 74-164 ' ~,~b/ ~[~e ''''''''''- --;;J . ,,~, -------~____,1. ,", . ~ Receipt !i . DEPARTflENT OF ENVIRONI1ENTAL I1ANAGEMEIIT. PSB, 125 EAST BTH AVENUE EUGENE, OREGON 97401 \ (" Job Address Application ;r~ ~',\u.- 3' \.g:~ Assigned Numbers =-7Q~ 0~,::.~:"':. ~~, CHy .5I~1 Township. Range, Section, Tax Lot Ip.,--C">~ -N ~ ,r-\. . ~ ~ ~-' Subdivision ~.... ,~ lot Block Applicatlon ;UI' J..l/Qhn~.(1 l-1-0r.\.'2.. (Jtc'-CQ...n~~ Structures now o~. (It l~ Proposed use of property: ~e'sTde~al""" - -;f/co~;;'~'a1'-' () Industrial Affldavit: 1.11-;//'./ j!/j / -/.. . hereby certify that this information is true and accurate. \':}/(,.."--V' /:/rPl~' ~...... If this appl~t;on is for an agricultural building it will be used for purposes allowed by the State Building Code and I,ane County Code Chapter 10 (zoning) and for no other purpose, I have the following legal interest in the property; owner of record; contract purchaser~ ../ lessee; holder of an exclusive option to purchasej duly authorized to aC,t for the owner, who is knowledgeable of this application. ~~ Signature/Address 9J1f2d .I~l, ~-.rs.c-l\., ~qc:. r 0 ~~O ?l ,\ t::-" (z~9l4G5 Telephone ~?;; or - '~' Date .:> -0 When permit is ready notify: /~/ Applicant I~/ Owner ~ontractor ~: ~I mal I~phone , Owner ~ r~^n (\. , VTcv-lr:,o<::;-/ _ (zi'o) Contract~r---' ~~-,'",;:/,,;>lAG:\5Cl~ .}t()\'"','\.Q., Sd..-Lc..Y (Ziol~, Phone Contractor's OSRI ,~~ _ Pfumbing by ':..Dc.tt- "':,'4-a'--' 'L~ _ '"3~ 1 If'). 0?' ~_.. DO NOT WRITE BELOW THIS LINE (L.\:i 1...1 '-- n: " U I '6 (; * of employees _ II of units ~ .... \\\~- ~. SDS: I~Existing, B~ \ b,\-\ 't-\ \...' ~/ Proposed, SI I N,A, CI Publ ic If Commercial: I of stories ~\,~ Residential: # of bedrooms ~ o SI test holes ready ....1..6 Fee Code Descriotion Sq. Ft. or , of Sites Unit Cost Valuation D /{fcash ~^ ~ I / Check # R.;ceived by \.) l'- AJ" Total Valuation; $ Plumbing fixtures at $ Sewer/water conn. at $ each each Fee r $ $ $ $ I c-,\t\C ~ I $ $ $ ~, ~\ ~!J-C-~rs&~l1m~~ yt0b'\O_ /(- - .......:--~"--'--' . 5:J ~ .:?4 -..., Subtota 1 81(/ ~i:L ~'l(r, weJL 4% State surcharge Pl ans check fee cu ancy ~'\ ~ '-<,;.', \ ' (''-'\ ..---,~- '-<tN\ ~ '~-) " PERMIT P.ROCESSING "'?"Zone ~ "- / P t. # \\' '- '-..J <:::::'- Parcel' ...-<./ Parcel Si,e c:~-::-:--...... , r. - ~ {' N rl ~ \ c- \ '---J,.I - I \ Minimum setbacks: 1:. front -.....r: 1.. side ~ ind ."""",. ; rea" ~('\ \ - - / rl.q"l(:)''"1~ J \ - ,- ) >---' ......- ' \ '-- ""\.~-~-\.- ~\.:~~. r~ .S' ~ - "~_l_,,=-r:-->_ r--. . / -" By \-..:). .... '!\f~ Date 5 / \5 ATER POLLUTION CONTROL -/ allation spec1f' gal. tank; ft, of drain eld; max, depth o(trenches: _, ~:;_ ~7;~ed ~;P:~i:^~:;_~jfl~:_' ~-:C: .^;~" ~,~ lYL<- / TOTAL $ r:::l.t~ $C:....\ Conrnents \::.~. '.~ r__-,\'-". ,. c:;;o . '-. '" '- ..:=....- To be typed on~permit ~.~ \ --, - Directions *(,> o slro I~&l I/WPC /_-/ Planning o r~b~lIorks CI Elevation ~I n/a el Address t:1 Facil ity Permit I~/ Environmental Health Telephone to site ( ~~C'"2' A~,..._... \ r., to , _~ () (:... ~. Plans to'; -CP&! set(s)' WPC == set(s} c. ' L-, T-._BY~.; 6-ra~ UXJ;'f!~7>~ /.!.<1:?/- ,- - ' -\'" - ::3"-::---. 0_"-.:_=_ Date Required Hold Slip to PCC Date Completed Da te to ,P~C ... / ~'" '2 <J. J , " ..:\ Ii! . . \..t' FLOOD PLAIN MANAGEMENT Department of Public Works 125 East 8th Avenue Eugene, Oregon 687-4195 TO: ~ PLAimING ' PERMIT NUMBER '2. ~ 10 -18 PARTITION NUMBER M ~1'Z..7B FI'- z.. SUBDIVISION OTHER PERMIT PROCESSING PUBLIC ~JORKS SITE ADDRESS PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT, YES NO~ NO SITE IN FLOOD HAZARD AREA YES SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL BE REASONABLY SAFE FROM FLOODING, SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA, " 1, MINIMUM FIRST FLOOR ELEVATION OF (M,S,L,) REQUIRED, 2, MINIMUM FOUNDATION ELEVATION OF (M,S.L,) REQUIRED, 3, MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOME WILL BE PLACED ON IS BELOW THE REQUIRED MINIMU~l FIRST FLOOR ELEVATION, 4, SITE LOCATED WITHIN A DESIGNATED FLOODWAY CHANllEL, BUILDING PROHIBITED, RECOMMENDATIONS: ........... ~ ~ I ~ , ~ I ~ , N ..... "" x r o ..... DATE ~-lo,.lR BY r-..YV1 r -- ~ () r " ..r.....-,'" , ; o MINOR '. . ZO 2C :;:part:i t ion o HAJOR ~ 4.l ~,:J . ~~ /" Q <:74RDCA/ <{.) . . '( , ~~':::\~- "'<f ~ 'd~~~2'e:. F.I'lI.-,.. . __I(','"c::-~. (8"" V '/, ,~. ~-'=- ~2ao.."...~Be..... "~ - tl Ir--- ~~~~~ j\ \" v IS ~ "'-r 1 ul ~ 8 v0 t~o 8 "f '- '" , ~ I g '1 ~q'r\, \ i2lo 0 ::~ 8 wI \,"-~ <Xl Q ~ i-tE k.Jaa C2',\.v {j) ~IJ) 140,CJ:::) , {(1 l\SuJo ,U\ -9 ! Jj;; 080, oS'<oc"Gy !_~ r(1 ~(I.I Ul o I 0/ ~ ~~ ,- 1._H3:=>~05:;:)' E.,J. j 0] 'I iJI ~o, "\ /1 LJ .rs.7 Ui ~;!.~ / / I~~ L_.....}~:/'< ..~ ..... ,. ~ :J~~ '/ ':pl_' ('-lJJfJ . '\I ...;.=- ul Ifl Ifl /l" fJv U . co o . ~ 0 (fl 1Ifl,.;~ Il..\~ J '/ U"9'2.'40'W 1'3"22,7<:0 I SC,\f.f.:: 1"~.It:C)' - ~. ~ .:. - '..--- ."-- " . . r to LO 6i l'- (\) I f=j. Ll:-QE-UD =----~--- o SE.T '='/8" l,~, o hJ. Mc>u(,.)M~WI ,b..S J-lOoiE....O ( ") DS....oTE."5 IZ:.a.coZ-D o""Twlv1 3 . ",/ PSG!STERED '\ . 1 'PRO;::E:S~IO.~AL: ! , i, i ~tp SU?Vc.YO,~ i "/ ~~/7r-----'" /~.~/l'C~P;'<hf~..;(.~ l' Sf::/-.':",?S: ' , .,.,......-....:N, E .~TE"',jlM . ..:.I.-.....~"'l._ ." ~Y' ... - j i..:J ~ : .-_.~~- sc.-Goe,OFTWE.. E.Ii. \-IA-e.PE.e. D.LC:""CoG T ~BS. 'Z-2.W, wrv\ F;d,2'[.P ~ \ ~ FTTY Nn- ~/3/:Z-77 &' ,,-r , TRS~TL!U)()-C'& /1). -#'700 :/ Plot Plan ~ '- ,J " ,..... . r-? d: 1 ~V~ I)"" ~"\SJ ::J. J'ij ~ " l.J./ijY..f ~ x \ y~ .l.t ~ t ~ ,'\$' ~ J tl: \,llJ ,,~ b' \ "'.-,<If .To '7P'r ';.4r ,/ (n ^ w .......- I- - ':- \ <( \J ,,-0 .... ! ~ B ( 1~ "1 Q, 0 , '~ ~ , 6k :J-.... Q) j":' - , ~ -.J (..- ~3I ~ Q) \ ~ "0 C 0 ) ~.~ "0 <( " '" r ~'- c o e:( () '- ~ '" ., ) ::;: sriC:C ;J -- Q) ~ E J " ~ ., 1 ~j .l... ~~~~t \.J i. l1 ~ c (1, ~ '6. ~jJ.;, '"' ~ > a. . - ," 0- C <D <( <D Job Location (Street, milepost)d7()~ jQLYI.p,n A)~,n(.)p Subdivision Lot Block' FOR SANITARIAN'S USE ONLY: ~JJJ;m Approved 0 System Disapproved COMMENTS: /j/hel~. Signature: x:J ~ FOR INSTALLER'S USE: Trench De~th ..:2.'t, Filler Depth Below 'Ie It Tank Capacity lU c, 0 Manufacturer E,,<, c.., ,..')" ., :/ Measured distance to well from tank /0 () from drainfield....L/ S o Needs Correction Date/Jj,.~ , " :' 1[/ ~'::I !" ,I ,.... . (~'-/ ",.' . . " ~ .30t 10' ~ b " ~ ,36' /- .s;: \. "... ".. ~ - -'r 'f.. -..) :::- -!.... -- It:: ~ l" :>- '- ~ ~ .Jj-;'--" I 'ii" . , ! .... to. " , ('\ - ' , \1"'.- .... 'i( IJ .- ~' _, 1- .' ,-, "' . '.1 . ~J .... t,' 3.r F.:.';',., ~ ( \, '0' I ..;/!:! C,-_. .'->.. _/(< :')'/TrI '/ ......... --...!::.- :../ Scale: INST~LLATlON RECORD AND CERTlFICA E OF SATISFACTOR'I~OMPLETION When signed by the County Sanitarian, this certific e is evidence as per (, 454.665 of sat. isfactory completion of a subsurface sewage disposal s~em at the above 0 atlon, Return this form to: Permit Processing Section, Departm~ of Ertvfr~" \la"',' "'c,nt .... . ,.... - -,.- - ~- - .. . ~ - - ~ -- . . --.... ~..... ---- JOB ADDRESS: -~,/~/j (<.:..?~:.:::\ t:.v____':''.::.o TRS TL: , ~~~2~e~~~ ~ J~n POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT # ~:~-k:==>':: ==7:; r,""':;_~(1"~',,1 ,...., .......'-~-.....r-~.!.l.~:..l u....... Subdivision: ;::.-:. This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed, Violation can result in revocation of this permit, citation under provisibiiS'O(kane County's Infraction Ordinance, and/or other remedies allowed by law. I:?J?cr] t10 ^""-"">")~~,':::':lD 229~ \J 2'~::~ rJ~;X2e r,o E. i2.=",y !:b:1~ G::s?f..;J ;..:;;~&O J-TotalCConstfiiction Value, C3D ~nstruction approved by this permit: Applicant/Address: Owner/Address: Contractor/Address: Contractor's OS # Water Supply: " C:l 9i143j Telephone: Telephone: Telephone: t.J~l,2C5 r"'~ ~'.7= ::, E..'1 ~~:'c:JS(2Cl r-~t:l11~'--=p j2!l2()OD )1.<;)10 r'=li:CO. SW~2~::r~ ~J e...l t:....-,~l,.~-.4~ya ~~/~....:.::~o # Bedrooms: # Employees: # Plumbing Fixtures: C~:J.oZ2..:..--:3 \....~ :'5 PLANNING DIVISION Zoning: Partitioning # Parcel # Minimum required structural setbacks, from: center.liiie'of road, front: side exterior: ; interior property lines: ;rear property line: Special Instructions: llSo ~:;&Jco 1.:1 29i~7Go (t:~ For information call 687.4394, ~.w2 = 2 ~Ga 2f10 t-:,.;v;".:.o;. C)~ t:)()) Parcel Size: ; centerline of road, 5 c= WATER POLLUTION CONTROL DIVISION }"'7---"'"1TIC-:) .~~o Site Inspection # I nstallation specifications: lineal feet of drainfield required; max, depth of trenches: Special Instructions: 1::0 Setbacks Septic Tank _terior property lines 10' _ge of road right.of.way 10' Building foundation 5' Wells, other water sources 50' gal. min, septic tank capacity; r , L.......~~ C) c.:l r:v oy-u~= u-::Jf:dtl!.c1 ~ @C)~~~~nc n?~~o L::::=~29/CS7eo Drainfield 10' 10' 10' 100' ::..cc~ For information call between 8:00 . 9:00 a.m" 6L:1~::Qc~ ..;sC"'; F'-.t';;/ Fire Zone: Use Classification: CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction: Instructions: Group: ~ 0 S ~" Q:l'~o qoo~.zo =:J r;:'1.azo to w<-u';'y t:il1~il oCCc:c i2=:"_-:.~ l:C-.~~........... ,';0 yo-Z f~~'\,<i{~r,- , oz c..:J .. .,........:; ::"7 Lb ~c2a~ e!::!.:.~ cro cz~~':--':J D e~ fl-"'~:::l 02 f:G..::t co~i'1Jlr~, 6.10 D~V'vf!.i:D r":~~~:3.!:Jn co 4"c,:\~r;(',jo G,""') l1\JvCZ?C:J C'n...:-"i CCF: co.llc:1 fu::.:J~~f~:Jo For plans information call between 8:00"a,m, and 9:00 a,m" For inspections (see back of this:p.!lrl)1~~l call 687-4065 between 8:00 a.m, and 5:00:p;m~) Directions to Site: DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By: lane county ~ ~')t:d::: I\"C::;=JL::::;:x::::: R:2:: gJ y':':::::::o:;.=~iVt1c:::':1 t~"QOo ~!~~- _:. ('-N""l!l'j" ~_ _ ~., ..... L Date Issued: ~6=~~t:J C55-13 rl .' , ,l . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED L:::7 DISAPPROVED L:::7 DATE REMARKS GAS PIPING GROUNDWORK ApPROVED L:::7 DISAPPROVED L:::7 DATE REMARKS ROUGH PLUMBING ApPROVED L:::7 DISAPPROVED L:::7 DATE REMARKS ROUGH GAS PIPING ApPROVED L:::7 DISAPPROVED L:::7 DATE REMARK 5 . INSPECTOR INSPECTOR INSPECTOR INSPECTOR FINAL PLUMBING ApPROVEO JJ2! D,SAPPROVEO L:::7 DATE-.:J -:J:J-7'l. INSPECTOR /?JI. REMARKS fJ.L I'JCj~ ()I', FINAL GAS PIPING ApPROVED ~ DISAPPROVED / / DATE REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE / / DATE REMARK 5 INSPECTOR INSPECTOR