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HomeMy WebLinkAboutPermit Building 1977-4-26 PERMIT # TRS, TI J08 LOCATION LANE COUNTY PERMIT Acreage or Lot Si,7D Contractor's O.S. # Partitioning # ) Completed Subdivision, Lo' Bloc~ APPLICANT'S NAME AND ADDRESC:: OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner ) Contractor. ( ) Prefer to pick up. Call PhonD Phonp PhonD (owner, etc.) when ready. . . STRUCTURES NOW ON THE PROPERTY liHIS PERMIT IS FOR WATER SUPPLY # BEDROOMS-=-# PLUM81NG CONNECTIONS- SEWAGE DISPOSAl S.1. # THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF PLUMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the propertv: _owner of record; contract purchaser; _ potential buver; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $ :B ~I,tt;to Signature DatD ) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING . Type of Construction Ilse Classification Group ,F ire Zone Comments: tiomments: ~ Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: SETBACKS: FRONT By: Date: Date: Date Issued: SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55-13 BLDG. PERMIT -WHITE, BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE "- r- , . -:S:: l'l , ~. .-f/ TRS,T' 17-0'2,-:2(,-1,/ PERMIT # //7-?;7 ,ytJO JOB LOCATION ;'i J C/9 /) ..,..612 J4 j) p, 1./ e.- 69 LANE COUNTY PERMIT Acreage or Lot Si70 Contractor's O.S. # Partitioning # ,( ) Completed Subdivision Lot Bloc~ APPLICANT'S NAME AND ADDR<=~~ E ""I:: ~.u s;... J.JP1 L jo,t;.uJ OWNER'S NAME AND ADDRES,C: ..5-9;"" "'" CONTRACTOR'S NAME AND ADDRESS < 4'-..-? = Mail permit to ( ) Applicant ( ) Owner ) Contractor. l><t:refer to pick up. STRUCTURES NOW ON THE PROPERTY ()W' C:- (...( , n/ (;.. f' ~ In, L '/ 0<. t) " /;-./ / ;):l 99 //..?--?P,d, LJA'. ,"" ,pC:Lrf , ...- . Call '7.f/~-~ ~);'" Phono Phono Phono ~(owner, etc.) when ready. 7o/'.<'-L3'1?....;3 ..HIS PERMIT IS FOR A dr-l., ~ATER SUPPLY, tRlJ(")./:;,:; /.J , SEWAGE DISPOSAl # BEDROOMS....3....# PLUMBING,CONNECTION5--, s,<!!,ph C. #x/.~-^S.L # THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF 5 to t:Ld . . PLUMBING BY - hereby' certify that the above statements are true and accurate, ~nd that I have the following legal interest in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further 'certify that (if not the owner) I am authorized to act for the owner of record and that said owner is aware and approves of this action. I hereby agree to complv with all applicable Codes relating to this permit. , 7 -1 / /~ . 7 Fee Paid ~ ?/ /. ..:;2..iD Signature r./~ P.AAR' /'~7--,~ Dato (./- ./J; - 7 ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT"'/ () SP~CIA{ PMT. AREA. MIN. ELEVATION: SAN IT ATION Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet ' Maximum Depth BUILDING .c;- A./ Type of Construction 7' ,/- #' /7 ~ _' 'Ise Classification ~~.-~ - .--,-/ Comments: Group '3 Fire Zone Comments: . By:~j('~. Date: t(-1/!\-77 By:(f2. g~ k ~~te: ~-rC.-7? PLANNING_REQUIREMENTS SATISFIED. By: \.4'::Z?l1.:L. C/ Date: ~/ Q- / ' /' Date Issued: -rL ~!YI.' '7.Z- ,ZONE: r.;4- SETBACKS: FRONT.L,/(",",/ SiDE FACING STREET (FRbM CIL) INT. SiDE YARD, ') 'REAR)r 11&F.l0M'P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125,EAST 8TH AVE., EUGENE, OREGON 9740l PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE ,.. . . SITE INSPECTION ApPROVEO W DISAPPROVEO C1 DATE ~ t, -'71 INSPECTOR ~ REMARKS FOUNDATION INSPECJION / ApPROVED LK/ DISAPPROVED c::J DATE REMARKS hA~ - ,dA.-/..- tIJ tt::.. t c;: r:/ . "/ ;..-'/_</ : L--t ,.,)...... -..- (INSPECTOR 'if"_'o.: /",- &:(" - ~ - ? 'i (J,~:.-.e / FRAMING INSPECTION /" ApPROVED / 1"1 DISAPPROVED ,j (. /--1 C1 DATt,. .- 7.-- INSPECTOR - tJ ~.(...f.__ ,( REMARKS LATH OR SHEETROCK INSPECTION ApPROVED ~ DISAPPROVEO REMARKS L-I 1 /'~1 DATE ,j- - /-- '1 -') ("tL I ,I NSPECTOR ~_' :/ FINAL INSPECTION ApPROVED .~ DISAPPROVED C1 DATE 7- II_ilINSPECTOR REMARK 5 ~~ , CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE INSPECTOR REMARKS