HomeMy WebLinkAboutPermit Building 1977-7-1
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PERMIT # /;/ P;::i.-??
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JOB LOCATION
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LANE COUNTY PERMIT
Acreage or Lot Si7&>
Contractor's O.S, #
~ .3 !KG
11.~!7
Partitioning #
tJhl i
(
) Completed
Subdivision
Lot
~ ~~t Plms;
:1 1.
Block
APPLICANT'S NAME AND ADDRES<:
r OWNER'S NAME AND ADDRESS
e:ONTRACTOR'S NAME AND ADDRESS
Mail permit to ( ) Applicant ( ) Owner
J~~ AUo~ ,$J6, Sa JMJ.~ 1P~:'~"'n$;:;!S'in~[&e!dn tmo
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(S&J::3 BS;4l>9U.es-i4~)
( ) Contractor. (g) Prefer to pick up. Call ~~12gg,~
Phonp
Phonp
Phonp
(owner, etc.) when ready.
12~14719
.' 'STRUCTURES NOW ON THE PROPERTY 3""bmL~ tv;-'l.~Ii'iO
-THIS PERMIT IS FOR 1?M.1E.~ ROUM i~lnON,lJ 32) &r"Qo nO.
# BEDROOMS M3.r# PLUMBING CONNECTIONs~tU.u
, WATER SUPPLY
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SEWAGE DISPOSAl
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RJsiDU~l
S.1. #
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TH IS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
PLUMBING BY
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I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: owner of record;
contract purchaser; potential buyer;.4 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 $ 4~(>32 Wll o~ll) -,Signature ;:./ A'J!...:l./' .... /:.Ld",,-, Date 7- 1- 7' ?
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( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ,'- () SPECIAL PMT. AREA. MIN. ELEVATION:
4k.NITATION BUILDING '
- ..'-
Minimum Septic Tank Capacity (Gallons) ..~r Type of Construction ,_'Z
Drainfield Required - Lineal Feet ,,,..,...:J " "eJ, .1 Ic;e Classification
"',_..(.~' :."'.- ;; --I
Maximum Depth Comments:
Group
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...
Fire Zone
. Comments:
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By: ' Date: -~.;- _:_._.BY: ',-:- ;~' /::,,- ~':l_ /~~-; _~, ,"1'-: ~,' Date: T') , ,~. - 7, V
PLANNING REQUIREMENTS SATISFIED. By: .#:-'>:.;d~ ...;fr:~:~,<..., ""'_~"_ Date: 1/TJ.111 Date Issued: ;K,I,.~.t,t/t' L3- 17
ZONE: "BA SETBACKS: FRONT 6!: SIDE FACING STREET Q (FROM C/U INT, SIDE YARD 5; REA1R/ 6 (FROM P/U'
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
C55-13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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