HomeMy WebLinkAboutPermit Building 1986-6-2
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COIJNTY
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OWNER'S NAME
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INTERIOR
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SITE ADDRESS
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FOOTING / FOUNO~TION []
Approved ../Date_
INSPFCTjillJ RIRll
DATE ISSUED:f/.:z..-/;.-e PERMIT# ~.q2~
" PHONE NUMBER
PHONE NUMBER
# PLUMBING FIXTURES
REAR
1-1- SDSAPPROVAC REQUIRED
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il'~~ INSPECTION n ~
Correction Date InspectorVc.t~
PLUMBING GROUNDWORK INSPECTION
Approved Date /Correcti on
Date
Inspector
UNOERSLAB PLBG.[] /UNDERFLR PLBG,[] INSPECTION
Approved Date /Correction Date
FINAL MECHANICAL[] /WOOD STOVE []
Approved Date /Correction
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Approved V-o;;;;;::r:rr- /Correction / Date
~~!'-"'lfJLM !!!!J.!f'ULJ1LU1NG 0 ~\1P)~I1f&lI:1~A2 PLACEMENT[]
Approved Dateq-II-'f&/Correction Date
OTHER INS PECT ION
Approved Date
/Correction
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date /Correction
FRAMING INSPECTION
Approved Date
/Correction
ROUGH MECHANICAL
Approved Date
/Correction
INSULATION / VAPOR BARRIER INSPECTION
Approved Date /Correction
LATH / GYPSUM BOARD INSPECTION
Approved Date /Correction
CERTIFICATE OF OCCUPANCY []
Approved Date
Insp.
M74-197
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Inspector~~
TEMPORARY
Approved
Inspector~~
CERTIFICAT~ OF OCCUPANCY []
Date Insp,
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- ' -' . - FOR OFFICE USE ONLY
~county AuthorizatiOJ ;o.r~
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ro""H1P /Z I RANGE c;::Lf SEeTI/~ ) TAX ~St9/ OF
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:'ARTIT,~Z appl.1cable) I LOT/PARCEL I BLOCK
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~~ ~~D WORK ::"B~Ee~ /' /' a-- - - /J.F/ l...,.,e~D > VALUE ./
....~~.....-'?'~$6'~:zz .//-7/4e f/7~-r-~;?a /T(7C,._~cr X...:s?:
" OF BEDROCM~ - [ · 0'k7M I'; ;z;?ES' I WATER SUPPLY ~/?/~a:/ ~~~~~~~~
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~DNT ~' S N~ OSR'1I r / . ~ .,. '7 I Tp./'PHONE NUMBER
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Application//"""" ? 7 C-/
Perm~t # /rt:7d-0-db
I PROpOSED USE OF PROPERTY
~Sidential 0 Industrial
I 0 Commercial D Public.
. I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, a~j <10 hcrcLy certify t.hat all information hereon is true and correct, and that I
have the following legal interest in the property,Oowner of record; CQntrdl;t Pllrchaser;Oauthorized agent.
I f:.:.rther certify that any and all work performed shall be done in dCCm::. anCf;: wi th. th", Ordlnanct!s of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will b~ made of ani' st.rtlcture without the permission of the Building Division, I fur-
ther certify that registration with the Builder's Board is in full force <lnu effect as re~uired by ORS 701.055, that if "exempt the basis for exemption
~~j~;;;~Who~.n;;?: w.:' ORS ~5t' ~JU:d o~.s pr:ct. ;v~; MD
. . NAME (pl..s. pnnt) / ) ~SlI..A~ '1 ;:., DA~
READ THIS SECTION CAREFULLY. YOUR/AUTHORIZATION YAS
~!LANNING/ZONING: zone~/Itl.t-~artl.t~on #I
COr C
l-h.nl.mum Setbacks: L, front L, slde
BEEN BASED ON THE FOLLOWING CONDITIONS~
Parcel It
parcel Size
X'/(.[e1D~~~~~
A SANITATION: S,!, #I
Installation Gallon
Specifications: Tank
~r>>IENTS,~-t~~ ~~,~:;:t;"~~ o:fLff....u ::i'k-~~,
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j;{/Lt EXAAI~~."v~~~ use~' MU. .
COMI-lENTS: ..I_L"<::::-:':' ,-j)~:-;::;:..T.l;;.r'"JT. ~-:.J-..J ~p~
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interior
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Date, .oIll"_~ J
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Lineal Feet
of Dr.-ainfield
Installation Record Issued~es 0 No
Maximum Depth
of Trenches
B. P.
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Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.Bo~~j? ~.t'~~ATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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