HomeMy WebLinkAboutPermit Building 1974-7-30
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PROPERTY OWNER
11111, Robert r;.
CONTRACTOR
Same
PROPERTY LOCATION - INCLUDE POST OFFICE
3655 Dulte
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
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LANE COUNeUILDING PERMIT OR MOBILE
BUILDING 0 MH D
MAILING ADDRESS
B70 West Centennial, Sprlnqfleld
MAILING ADDRESS
Hce USE PERMIT
PERMIT NO,
111376-74
PHONE
746-J~16
PHONE
Lot 25
Block 2
RANGE
19
.,
3rd Add
SECTION
06./.3
l1eadOrl Green
TAX LOT NO.
J9ZJj
CODE
CENSUS TRACT
TWP
APPl.
NAME
&
EXISTING STRUCTURES ON PROPERTY
None
LEGAL ACCESS TO PROPERTY
.-s 45'5' Duke
PROPERTY SIZE - FT.
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System D New System D
TYPE CONSTRUCTION SQ. FT. +: BDRMS VALUATION
Dwelllnl1
10564il 21.BO
336 @ 5.30
23,020.80
I , 780. BO
24,001.60
1~
.~
I
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~
.~
.,
~
Garage
Subdivision Approved
,SEWAGE DISPOSAL
,
OTHERD
112.00
50.00
22.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1% surcharge
TOTAL
\I
SEPTIC TANK ~
PUBLIC .t:J
o OTHER
r
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,
1.34
IllS.34
COUNTY
BUILDING & SANITATION SPECIFICATIONS
WITH DIST. BOX: GAL.
900
DRAIN FIELD REQUIRED
UN. FT ISO
TRENCH WIDTH FT. 2
OR SQ. FT.
300
MIN. SEPTIC TANK CAPACITY
;'
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
J. Shook
DATE
7IE!(}l7t. d1il
~
~ J
BLDG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 45 SIDE INT, 5 SIDE EXI.
AUTHORIZED SIGNATURE - DATE
s/s J.E. Boss by Chmrlie Harbaugh
RA
USE CLASSIFICATION
REAR 7
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
,PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Coli 687-4065 to schedule all required inspections. All construC4
tion shall comply with Uniform Building Code, D.E,Q. standards
IMPORTANT: for subsurface sewoge disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
PORM := CS5-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97.(01
( )
( )
( )
Site Inspection
E."Ho 10 3 r-~ C\ct.I
· ?Uti
1376 - ,
r NIEA'c::t'OW .G-.€E;au
T /.t6 6;:;S Ob
C 'E'Ns'lI!'" TRA CT
Lt -;;S BfA. <-
TAX LOT
.'
~urLDING,SITE EVALUATION
. . .
Building Permit Appl ication No.
APPLICANT:A / ' 1/
NAME ff t' / fl
ADDRESS /
R,
Pre-Permit Investigation
PHONE
DATE
7- ":)..2 -7Y
LANE COUNTY PLANNING DEPARTMENT NOT NO YES
appl icable
I. Zoning ordinance Compliance ( ) ( ) ( )
(Zone )
2. Subdivision Ordinance Compl iance ( ) ( ) ( )
3, Required Access ( ) ( )
4. Building Site (Area, Width, ( ) (
Fronta~e, Setback)
5. Other (see comments ( ) ( )
NAME
DATE
COl1HENTS:
- --
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
appl i cab I e - -
jf
6. Plans Submitted ( ) ( )
t -
7. Soil Stabil ity (foot ings) ( ) ( )
8. Flood Plain ~ ( ) ( )
9. Other (see Corrvnents) ( ) ( ) e,76~~{ 'J-~&.-'7#
~ '7
COMMENTS: / If
,
SANITATION SECTION NOT NO YES JJ:U:,Q DATE
appl icable Zh'F/~
10. Sewage Disposal ( ) ( ) ep
II. Us ab I e Area ( ) ( ) ( )
12. Water Supply ( ) ( ) ,~
13. Other (see Comments) ( ) ( )
COMM ENTS :
TO APPLI CANT:
fJifl!1q / l~.You,r
/f/I- /n\
( )
( )
( )
Building Permit / Site Inspection:
Can be app roved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane Countv Buildinq and Sanitation Division.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.,
I
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
I
..
.
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Dat;'
-7-31-74
.
.
Permit No,
n76-74
CURB CUT
.
.
.
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com-
missioners of lane County, and it is the opinion and judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby,
ORDERED, that a permit be and is hereby issued to
Robert N. Hi 11
870 West Centennial SDrinqfield, Oreqon
or constructing the following facility:
for placing, building
Dwelling
Meadow Green 3rd add Lot 25 Block 2
upon the right,of,way of County Road No, , Mile Post
in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contained in the application and permit, the Rules and Regulations Gov,
erning Facilities to be Permitted upon County Road Rights,of,Way, as set forth by the Lane Man,
ual 50,190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
Special Provisions:
1. Driveway will be constructed in accordance with the attached driveway approach specifica'
tions (Drawing M98-50).
2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadway and right of way caused by his operation, leaving the roadway and area in a neat,
acceptable condition.
3. Sidewalks will be constructed in accordance with the attached sidewalk
specifications and drawing H 98-49. The standafds curb type shall be
constructed unless otherwise specified.
This permit is revocable at any time, and will be strictly adhered to and no work ather than
that specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed be,
fore
".1 Y : 1 ~
, 19----#,
Expires
19_.
Inspected and Approved
Approved by Board of County Commissioners
By
---/2/ //!4~f'~1_
Director of Public Works
Date
By
WHITE - OFFICE FilE
GREEN - RESIDENT ENGINEER
PINK - PERMITTEE
BLUE - ROAD SUPERVISOR
ORANGE - BUilDING & SANITATION DEPT.
YELLOW - REAL ESTATE
C98-19
...
.
,
.
perm~o.
. .
. Dale
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com,
missioners of Lane County, and it is the opinion and judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
ORDERED, that a permit be and is hereby issued to
or constructing the following facility:
for placing, building
upon the right.of,way of County Road No. , Mile Post ,
in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contained in the application and permit, the Rules and Regulations Gov,
erning Facilities to be Permitted upon County Road Rights.of.Way, as set forth by the Lane Man,
ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
Special Provisions:
1. Driveway will be constructed in accordance with the attached driveway approach specifica'
tions (Drawing M98,50).
2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadway and right of way caused by his operation, leaving the roadwoy and area in a neat,
acceptable condition,
This permit is revocable at any time, and will be strictly adhered to and no work other than
that specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed be,
fore
,19
Expires
19
Inspected and Approved
Approved by Board of County Commissioners
By
Date
By
Director of Public Works
WHITE - OffiCE FILE
GREEN - RESIDENT ENGINEER
PINK - PERMITTEE
BLUE - ROAD SUPERVISOR
ORANGE - BUilDING & SANITATION DEPT.
YELLOW - REAL ESTATE
C98-79
--
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PROPERTY' OWNER
tlI u D, 1::'::;Cfl\ [,.
CONTRACTOR
Gr:-:-:l
PROPERTY LOCATION - INCLUDE POST OFFICE
LANE COU. BUILDING PERMIT OR MOBILE
BUilDING [J n MH [I
MAILING ADDRESS
l~/Q t:c..oll GC';'\Cc;;:.lo!. G:whrVld<J
MAILING ADDRESS
}:/l1CZ I
H. USE PERMIT
PERMIT NO,
::.(:3/\.;~'i.'~'
PHONE
it::::~(,,;~()
PHONE
:~s~r; r;:~~:l
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
k:(;J\) Dice 2 3rd ~CJ
TWP
RANGE
SECTION
r-:cc~CJ GrC'0:~
TAX LOT NO.
CODE
CENSUS TRACT
11
<;)
c~
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
EXISTING STRUCTURES ON PROPERTY
[:Ono
LEGAL ACCESS TO PROPERTY
D:.:::()
PROPERTY SIZE - fT.
WIDTH
DEPTH
AREA
C:-;,)Ul k:1
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. ;t BDRMS
UC;;5 () 21.L'3
:J]{) () 5. llJ
New System 0
VALUATION
#) fl ~ 4" (\ ~\
..:idlo' ;e,I.\,~)
eel C:::l
i,/,:J.,::J
...::::=-="--......oL.=-_.""""-~.
2~)~~;~~ .C:)
St;::jl\/io~c:l ~;::~..c"cd
SEWAGE DISPOSAL
.
OTHERD
182.1:3
::O.C3
,ilI.UJ
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PU BUC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
~~~) G~?G~7CO
TOTAL
"
SEPTIC TANK 0
PUBLIC B
o OTHER
.
u .~[)
ILJ~.b<J
MIN. SEPTIC TANK CAPACITY
WITH 015T. BOX: GAL. ScJ
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN, FT U!)() TRENCH WIDTH FT, 2
OR SQ. FT.
~~"
JI~V
TYPE OF STRUCTURE
[ ..
OCCUPANCY
,!
ZONE
M
USE CLASSIFICATION
PUBLIC UTIl. EASEMENT
BLDG. SETBACKS _. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 1;,:; SIDE INT, J SIDE EXT,
AUTHORIZED SIGNATURE - DATE
010 .I.':. 0000 ~lJ G,;c,!lo r:CJi":':CiJ:;,
Q
REAR
7
J. S~:,
DATE
1I'd':ff!.; (",
BLDG. PERMIT - WHITE
OFfICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687,4065 to schedule all required inspections. All canstruc,
tian shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details an Reverse Side)
FORM ::= C55.13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OReGON 97.401
r
SLAB FLOOR
PLUMBING GROUNDWORK
.
ApPROVED rt DISAPPROVED rt DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED C1 DATE
REMARKS
.
INSPECTOR
INSPECTOR
ROUGH PLUMBING
ApPROVED .(}!f;J DISAPPROVED C1 DATE 9-J-?~
REMARKS
ROUGH GAS PIPING
ApPROVED C1 01 SAPPROVEO C1 DATE
REMARKS
FINAL PLUMBING
ApPROVED ~
REMARKS
DATE/-
DISAPPROVED C1
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED C1 DATE
REMARK S
CERTIFICATE OF OCCUPANCY
INSPECTOR
INSPECTOR
4#
?/ ....
-s--.)~ INSPE?-'V~
-f/'
INSPECTOR
READY TO ISSUE rt NOT READY TO ISSUE ~ DATE
REMARK S
INSPECTOR
'----::"'0
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;
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OWNER
LANE COU. BUILDING PERMIT OR MOBILE HIE
BUILDING MH
MAILING AO~RESS
USE PERMIT
PERMIT NO.
PHONE
lNTRAi Tal"
MAILING AD6~~~s
"'HONE
~r~T l
ATION
INCLUDE POST OFFICE
l :GAl DESCRIPTION - METES, 80UNLr~
A ~J E
;r I\'N
TA~ LO"T NO
"
"
APPL
EXISTING STRUCTURES ON
NAME
LEGAL ACCESS TO PROPERTY
.
MAILING
ADDRESS
FOR MO~)tE HOM~ PERMITS ONt Y
No. of BedrQQm!}
lJ~E ) BE UIl HI~
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to EXisting Sewoqe System
:RMI'
HF
)N: 1 l l< N
FT
l[l.rM~
New System
~l I ioN
]
SEwAGE DISPOSAL
PLUMA1}.:lt; INSTALLED BY
PUBLIC
'UII DING
WASTf DISPOSAL
PLUMBING
Pl ~N REVIEW
>ARK TRAU-EIl:
SEPJt\. TANK
OTHERI
$
fEES
?W~ER OTHE', NAMf
vlAn~ SUPPLY
PVA,"
OTH,.
TOT$,l
$
MIN stPTlC TANK CAPACITY
CO\iNTY B\JI~P\Nr & l)AI'-lIT A TION SPECIFICA nONS
D,!"/, llo ,EQ[JlHO
WITH OIST. BOX, GAl.
pN, FT
TRENCH WIDTH fT
OR SQ. fT
TYPE OF STRlJ<.. TURE
OCCUPANCY
lONE
PUBLIC UTll EASEMENT
Blt~r SETM.~'KS fT FROM eTR OF ROAO RIGHT OF WAY
USE .lASSlflt ATlON
FRONT
SIDE INT. S1I;)E EXT
AUTHUlol\lEP SIGNA rU~l: - DATE
REAR
OAT!
IHe'l,.... ;'1I1MIT - WHITE
Off In \:OPY WHITE
COUNTY TAX - riNK
PlUMIUNG - CANARY
RU1l0lNC GREEN
S, NITATlON GOLOENROD
Call 687-4065 to schedulE 011 required inspections. All c.
tion shall comply with Uniform Building Code, D.E.a. standards
. .. '. ANT: for subsurface sewagt: disposal and county regl \ covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Detoil~ on RE ver'Se Side'
_.. THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. Of ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 13.5 EAST 6th, EUGENE, OREGON ~7.401
~~
.
.
SITE I NSPECTI ON
APPROVD /-./ OISAPPROVED Q DPE ,__ INSPECTOR
REM'~~~~-' ~C?ittg;~r.M"C-;?G v--",2/ ",,?yd!a/
FOUNDATION INSPECTION ':/-,/
DI SAPPROVED 1---/ DATE 'ifv z...! -1(/ INSPECTO&(~
,J/ ;1 J 2 ~ OJ;f J-h'; ff'
.I.J:iJ..l.4"-.lL</;;.-i.J, l:'fi'......f4J.:. 'U!.!'{f.t.!...;.~.K~.-t~. {(-:-WI. l'J t<
~(,<.(IJt;1 ~L rd', :.:! l...~i,
,.. H -", -
. 'vHJ1(; /r.. 7..1 · " lJ. t?L ~
FRAMING INSPECTION ~/~
ApPROVED / Y{ DI SAPPROVED Cl DATE r. / / . 'Ii I NSPECTORd -"
REMARKs~~.;A~~(AiP~~ t(-U -?yli
~U/-1't /M..7M'J ~ <:7-(;.. ;t!Lrr,7. ,1 /"-'-L
/ ~Mi-i(~9"""'Jrfl'
@/,
LATH OR S~E::~INSPECTION ~~
ApPROVED DI SAPPRDVED /I DATE 1".;tff. ?t/ I NSPECTD,(5::;F(' t!!../
REMARKS
/l
n"" '~'';1 ,1/; ~
ApPROVED DISA\,PRO~D Cl DATEJ/!-IS" J'II,NSPECTo{;7t t--; t
~/r.5:.4. ~,{~4.'-V,?; tl4t/,:.r , /. ._" 1.-(.. ,,;' ..c
- 'y.Am ~ rLJ~:;' ~-- ~.- -t' r ~ '7' "'''7U/D ""'7"~t'
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
INSPECTOR
~
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----- k'~ "!~~'-
/3 7~. '11( ~ df 3 /,6- S- vuk.
REMARKS
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INSTALLER:
--
PR.ED SEWAGE 0 I SPOSAL SYSTEM RECO. UdI. , :.. '::
Complete top part of form to signature and submit both copies wr'~ application. ,
PERM IT NO.1 -;7G- 7l, JS
INS~LLER'S NA~~
f/A;CI.e l";O/lJ IlrfVL')~ '
No. L~ng Units Bedrooms Baths
PROPERTY ADDRESS
f)Ui{E
Septic Tank:
Ft. from well
Basement Water Supply
Yes No? __ Pub 1 i c ~ther-Li st
Inside
Lenljth
OWNER
NAME
MAILING
ADDRESS
Dimensions:
Width
Steel 0
Ft.
Diameter
Concrete ~.o. Compartments Gal. Capacity
~ //\Cc}
Ti Ie Disposal Fieldf
Depth Distribution Box: Yes z./""No
Other Distribution-Type
:.:1o;lrRT i'~. Ii I'~L
8'(0 ':/. Cr;; TE;,;r:i A L
Feet from
WEll
Lot Li ne
Front
1Ft. Betwee~
Lines !u
Side Rear
IFiller IFiller Depth IFiller Below
Tvpel~ Above TiIe21lnJrile c.. In.
Foundation
:,q, ';,:;rlf.I_:J, O'~EGO:
L~9th.~f Lines-Ft;.. tT~ench1
~ ../J. 4:'i.35~~-;6. Wldt~
prot Plan (see instructionsl:
, I CERTIFICATE OF SATISFACTORY COMPLETION -, \ ""
For SanItarian Use Only: Dat~."5f-/~o~~
In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is ~ed
as evidence of satisfactory completion of a subsurface sewage disposal system at the above
location
~Approved: System Installation conforms to current standards
c::J Disapproved: Does not conform to current standards
Remarks:
C55-11
Total Sq.
Ft.
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s~~. ~ r~~~re
L COUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONME AL QUALITY
LANE COUNTY .DING PERMIT 0 R MOBILE HOMeE APPLICATION. " /
PERMIT TYPE - BUilDING i 1 MOBilE HOME j !OSC REG, /I . PERMIT # /37' .,'7Y
-P~'pJ~TY'-OIWNER--' ~._---<--_.__. MAiiiNG ADDREss.... .. -.-'-- ~ #-..-- .-------...~PHONE
-~------~,--~-. - 2!?a_,td__,~d _. . ~,-,Z~ 99/tb
CONTRACTOR I'" . MAltiNG ADDRESS . PHONE
ei!a,:rr?clf-.r;,N ~lNaUDE posTOr,icE - --- -------.
6fo05 f1~
PROPERlY LEGAL DESCRIPIION ~.....1 .... -121)., _ /J _......
LOT - BLOCK - SU'DIV, hL-tI-'-r -cxS Qk'ut!.K. """
TWP RANGE see.
/f 0:2- 06
.3-M 0 cI c/ C-IJ;@~) U--I1L..b7U
TAX Lcn # CODE CENSUS TRACT
METES & BOUNDS 0 YES
ATTACHED 0 NO
APPLICANT
NAME
AND
MAILING
ADDRESS
FOR MOBilE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
---Llt '" I" ~&7'
,?a/u"-1/
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
vf7.AJt ..L/
LEGAL .ftESS T~ PROPERTY - ROAD NAME OR #
~~-,>
PROPERTY SIZE-WIDTH DEPTH AREA
Connect to 'Existing
TYPE CONSTRUCTION
Sewage System 0 ar New System Req, 0
. SQ. F@ # BEDROOMS VALUATION
/ a ') & .;:; (.g'b( ~ ).;:J:.3, D;:J/) . g !)
-~-~ -- -- "
3a&, 5'~O_j) 7frj.jJJ
eX 7"; tol. W
..J~-Ad<"'~n..../ '.0-./ /5~-","-,Lh'f
SEWAGE DISPOSAL , 7' .
PUBLIC 0 SEPTIC TANK _?< OTHER 0
. BLDG. j-,/ :J.. I ~_Q_ FEES WATER SUPPLY
WASTE 015. .6./)., /)~ PUBLIC ~ OTHER:
PlUMBING I' ~ , on PlU~BlNG FEES ~4' 0 0
.- PlAN REVIEW ~_ FIXTURES / ?'.OZJ
PARK TRLR. (- CASH 0 S~~
(% S,C . / J! ~ . CHECK ~NNECTlON FEE .:2.. 0 1)
!g,~L.._---.L K ~3!L , ~~'~~E~:g~R FEE d-' () 0 _,__
PLUMBING INSTALLED BY
COUNTY BUilDING
OWNER 0 OTHER n NAME
PLANS FURNISHED FACILlT~~MIT
;ES ~O 0 YES ~ NO 0
r~'-;;Pl/~ 6-JD-~-7Ji
/ 'FEE)"'CEIVED BY ..? DATE
/f .,I/~- ;);;1-7'/
PERMIT # . / ..
17, 7/" .7'-1
& SANITATION SPECIFICATIONS
MIN. ~EPHC TANK CAPACITY
WITH DIST_ 'OX, GAL Cloo
DRAIN FIELD REQUIRED
lIN. FT, I DO TRENCH WIDTH FT, 2
OR SQUARE FEEl .1 0 0
TYPEOFsIR:~UR'-,_~_6:j(- ~C7~4:;' ,~~_ .;'-~-=-'REAR YARD __~
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGttT OF -My .-' USE CLASSifICATION
&~~~l~~"~/L~;'~'~?~-!ftJt1-~~-~~ _~~
PUBLIC UTll. EASEMENT
--------- ----- - ----.----------.----------.
COPY 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
._----. --~---- ---- --- --- ---
._-.-.------ ----------' --.._- ------------- ----_.
form == r:~~-12