HomeMy WebLinkAboutPermit Building 1976-2-5
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,
.LANE COUNTY PERMIT FOR:
.
PERMIT NO. 122-16
.'
CONSTRUCTION (X]
""~Jn ()
NAME
MOBILE HOME (J PLAN REVIEW (J CHANGE OF OCCUPANCY [ ]
:>4"!:> n""\lI .n.~,. Sp" . NFl'" , no. 0,,_ q7~77 726-0604
ADDRESS CITY ZIP CODE PHONE
q7477 72&-1 '\20
ZIP CODE PHONE
3?~ ~^Tr~~y. ~PRINn~lvln. O~~
ADDRESS CITY
EiJ Owner
~,^aI'")Y RI)DTl'
NAME
01 Contractor
~)I"~UIPc.-
O.S. Reg. #
<>
Twn 1"7
. ..
3RD. AD!).
Subdivision
Range "3
,;13'0.(, <.{
Section ..-.:.. '... Tax Lot
lit
Codo
Census Tract
NOllTHWOOD EST'lotS
17_ Blocl<
4
Acreage
Width
Access to Property (Road Name):
nll"A.~ n~_
Depth
Existing Structures on Property:
~n~JlC'
Directions to, Property . Address:
o;:.h7? rhWh(l ng.
STRUCTURE 1# BEDROOMS)
^...n.. or I nM_t". n.C!l" I M I 1\lIMn O""'\M
SQ. FT.
1114
VALUATION
2.q87.68
BUILDING
PLUMBING
3% SURCHARG~
MOBILE HOM~
WASTE DISPOSAL
PLAN REVIEW
SEWAGE DISPOSAL: EXISTING
PUBLIC [] SEPTIC TANK [)J. OTHER [
24.00
b.OO
.90
PLUMBING INSTALLED BY:
OWNER I laTHER r I NAMF
. - -. ---
WATER SUPPLY: PROPOSED [ ]
EXISTING [I
[ ] PUBLIC
10J COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER. SPECIFY:
TOTAL
.O.QO
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION ,)-N
GROUP
FIRE ZON~
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS 401. FROM CTR. OF rNV:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. ')' REAR 5'
_ ZONF
AGT. (RA)
AUTHORIZED SIGNATURES:
/s/ J. E. BOSS, BY, C. HAR3AUGH
ISSUANCE DATE:
McKAY/CRUICKSHANK, SANITARIA~ 2-5-76 JI-I
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.a. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Reverse Side)
C:l:l.l3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
~
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
.'
~ COUNTY ENVIRONMENTAL .AGEMENT
.
PLOT PLAN
Name and Address of Owner
Telephone:
The building being. constructed under this permit will be used for
Date this property was purchased
Do you now, or did you ever own property adjacent to this tax lot? If so, please
list those tax lot numbers or draw those properties on the plot plan below.
Indicate on your drawing the location of all homes (including mobile homes) now on
the property, as well as the location of the new building.
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_ _ --_ ._~__ . _ _. "._ ...100
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Name of Applicant (if different from owner):
Address
Telephone
Applicant's Interest: Buyer c=J
M74-99
Seller D Agent D
Map
Tax Lot
Permit II
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PROPOSAL and CONTRACT
Da'. / - s;:.-
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Dear Sir:
T _ prppose to furnish all materials and perform all labor necessary to complete the following:
~.t..</..;{ ::;~/ .A.-.r?)">Y) ~ ,,~u.-;/~ ..." ....-':./,:~.JI 7'.;- h.
j 7. ILl,] '" M .ill .L 11 ,I-J.;f /.....-, .M! w ~........-.€A i /' B.' ~'~ r
fJ I" 1'-'
fi...:.. 1-J? ;( -;-'-{. . I..' ,
/7 l . 0 . (J f, ... /J.d . . j .:J~"::>
(A..Un, -- ,J.A'O<d,O.A-,U,'I/1-C-<_y:; ;fA'.....A"~'-1 j.'.~''.:''. .:"_ "" .,
'A .... ^,.J.j .,C1-'/0, 1..;.-1 !j.(~.lJ' M/:....". ,j( /t,a... v-.f .t.,-h.~. /JrM1;fj
;:10 --tL -r0oJu).~j j;" t,.", "',0......'.,:-... (f/.o.q..~, ~."r:"" A..~.....t ~ J
~ r"-.') /1 _,?1-,,;I~1,D.~'i.'-""'-/ 1~.,..tr1 ('___J"l.-vt.-(..A.~. 4- . _ .
.r. . rl~"',M-JA1U" ~; ,Po.,L... ~-:j a~P.P .."'--~ rr;.tylj,.)~lt
jd:;).~ -;t,f.,,7;-':'~. -JJ~l tf.~.~ (':-k A-~ jJ~d to (U .' -1l ^'- l'
(i,-,'3 .,;-u....J.:.vy c L.. '/~J... ,t..,. p'",,~.....sI.. <>u.n-Vl .
All of the abo~e :ork to be i;',mpleted in a substantial J"d workmanlike manner according to standard
practices for the sum "f Dollars ( $.:2. '1f{? '- 8 )
Payments to be made t13.,';'..-rYl r~y~ ~.,.....,.~ "p~'1~
-of: I P' CJ '"
/ ~ 4.1t:' ....,.\......A'..v. !'./.A':'I ,<,,{.r7JlJ/e ~L.,.-f'l-lA_Q./UJ .
(/
. as the work progress6ll
to the value of - per cent .) of all work completed. TIle entiro
amount of contract to be paid with;" ,5-- . ... -_.. days after completion.
Any alteration or deviation from the above specifications involving extra cost of material or labor will
only be executed upon written orders for same, and will become an extra charge over the sum mentioned
In this contract. All agreements must be made In writing.
Respectfully submitt~__ ~ If
__..p:l.~...iA A.../< ."4~?p .
<:::Ry (_ \,., ,,4-7<' 9?7r_^"I,/-,--,~
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ACCEPTANCE
~
You are hereby authorized to furnish all materials and labor required to complete the work mentioned
in the above proposal, for wWcJ:. agree to pay the amount mentioned in said proposal,
and according to the terms thereof.
AC":'W~. . i ,,)'U . -/:1.
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In Pad.. Th. UTILITY lIn.. Form No. 55.037
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Spiral Bound. Oupllcar. . Farm. No. 50-250
BU.ILDlbWi SITE
{"-v ~~ .
EVALUATION o/~ ~~I\\P
PERMIT APPLICATION NO. \
(')1 BUILDING
() SITE INSPECTION
PLANNING DIVISION
Not
Aopl icable
,1fft ~
( )
( )
( )
/? It /I (d'~.-IlJ ~
/:H~ - IJ
1.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Building Site (Area, Width, Frontage)
Other (see comments)
COMMENTS:
/.1_
/7 A~ :..?3~fl;;;'f //'
T. . (/'./S TAX LOT //&
SUBDIVISI .
LOT: BLOCK:
APPL I CANT
DATE
No Yes CK'D BY: wflq,. ;J.7\k'Vl7~
~) ~ 6. Setbacks from c/l of ~oad:
( ) ( ) Front "L/ !J
( ) ( ) S~or
( ) ( ) Setbacks from interior lines:
( ) ( ) Side .6
. Ii /' ,Rear ",-
~'>1l-vv-e-.~
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATIONH
Not
Aoolicable No Yes
() ~) TI
() ()()
~ ~ ~ ~ ~ ~ CK'D BY:titU!:d-'J(p)'t
. - DAfE
1~,flh;;1.. .J~~~^/;1: ~J-. ,
/:' N)" d," . '" ;y1.,,':r1ft.ff7;;J:::vf'j;fj;}'}A;"';;''w /...."' ",
f"r /./{l -.M /I 3 M/ f./#
./;1 , ;,) tAh/11 =-- ~- - f {.t/ ( /.A-
BUILDING INSPECTION DIVISION
7.
8.
9.
10.
Plans Submitted
Soil Stability (footings)
Flood Plain
Other (see comments)
WATER POLUTION CONTROL
Not
AODlicable
(0'
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
~) TI
( ) ( )
CK'D BY: ~~ 1_rl--~JJh
DATE
TO APPLI CANT:
~~ Building I Site Inspection:
~Can be approved.
11 () Cannot be approved at this time as indicated on item NO. above.
f) l\:1 // Quest Ions and further i nformat I on on items 1 through 6 contact the LANE-
~/ ~, COUNTY PLANNING DIVISION. Questions and further Information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held in this office until you can resolve the problems Indicated.
( ) Is being returned.
( ) Your buildinq permit ap'pl ication fee .is bein.q r~turned under seoarate c:over.
.crM~IMENT OF ~NVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-2B
.
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.,... / .'~
BU'fLDltiG SITE EVALUATION A .lei. ,. .
.) :. ,. ,...' . ~ \,
(').. BUILDING. PERMIT APPLICATION NO, I
, .
.
() SITE INSPECTION
PLANNING DIVISION
Not
Appl icable
jiA/iT( )
'\I v , ( )
( )
( )
( )
1.
2,
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Building Site (Area. Width, Frontage)
Other (see comments)
COHl1ENTS:
1/ A /J 0;: {(~kj ,k./_.
/Jf:J::(' - /J
/.'.
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T ; r .. () ";'S ,~
SUBDIVISldIP
LOT:
. OJ
,A "
TAX LOT
,
BLOCK:
APPLICANT
DATE
CK'D BY: ll,10..q,. ,)71....". /~
6. Setbacks from c/l of ,road:
Front .{ :i
S .i!!e._Exteri or
Setbacks from interior lJnes:
Side
Rear
L4'.{,l'~ ";;"'_..-I'~
No Yes
() TI
( ) ( )
( ) ( )
( ) ( )
( ) ( )
I,
t,-
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATIONH
,
BUILDING INSPECTION DIVISION Not
Applicable No Yes
7. Plans Submitted () () ~
8. So i1 Stab i 11 ty (foot i ngs) () () ( ) ,.. /i .
9. Flood Plain () (t ( ) /1./' I. . I.
10. Other (see comments) () (n () CK'D By:r/,'~.:ia!.;:",~~::;'~' .;J.,
1 I. DATE
COMMENTS: /J!-I'A//;;.I>'i1I... -:1//.1"':'1, /}/ 1/"';;/lJ~;'-Ajd~/4Z';;;. .cf"..IvJ1,-:'f;f;:'~. AI/-"" --_
_.>1/,/.(/ "'- ,,} r.-"/../J?I A/':{y,',"' '~_ Jf)-"'$( r' r-_'vf~/~:'f: ~ "f.{'l)A':'.;:/' .4'1)'-"A_,,~'I.'t. ......"'l:.t:,!!".. - ';t./f'j. ,1<. 1-"':'1/--1 l' . ( ~'.'. "'/
JflX:'~.' ~'//'/;,\ l;"-f.'f'/'t-J' fl,!;~jf/I~--?' ,._>~/-;'--,;'~ /~-IVJ'4/: ~;'~"'.-< .~_'/l.xr./;,-f/I/
, . 11' /:' ,/ , ,1/
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WATER POLUTION CONTROL
Not
ADolicable
( v)'
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
( )
COMMENTS:
. j
..., _1,'
~/ / l,.
I'... "
..
,;,
No Yes
()~
( ) ( )
,
CK'D BY: ~),Y\1L!{'.~1 ! - +.0 - 7"-"
v DATE
TO APPLICANT:
Your Building I Site Inspection:
AX} Can be approved.
/ L () Cannot be approved at this time as indicated on item NO. above.
.) ~'\ ,\ ,,0 .Questlons and further information on items 1 through 6 contact the LANE-
\J' COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held in this office until you can resolve the problems indicated..
( ~ Is being returned.
(.) Your building permit application fee is being returned under seoarat.. cgyer_
~EPARTMENT O~ ENVIRONMENTAL hANAu~M~NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
..
aANE COUNTY PERMIT FOR:
.
PERMIT NO.
CONSTRUCTION [J MOBILE HOME [ J PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
i:J Owner _
~---......
NAME
.
ADDRESS
..z:....:..-,.:
~bTY
ZIP COOE
VH'o N E-
ro Contractor
NAME
, " ., .-
ADDRESS
~
CITY
~
ZIP CODE
PHoIIE
O.S. Reg. #
Twp_
Range~_ Section~~ Tax Lot
Codp
Census Tract
Subdivision
Lot
Bloc~
Acreage
Width
Access to Property (Road Name):
Depth
Existing Structures on Property:
~
Directions to Property. Address:
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
'J' ..'...
SEWAGE DISPOSAL:
PUBLIC I I SEPTIC T(lf'JK I
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
OTHER I I
PLUMBING INSTALLED BY:
OWNER I 1 OTHER [I NAMF
WATER SUPPL Y: PROPOSED [ I
EXISTING [I
[ J PUBLIC
[J COMMUNITY - NAME:
[ J PRIVATE WELL
[ ] OTHER. SPECIFY:
TOTAL
CONSTRUCTION PERMITS & INSPECTlOI'lS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GAL < MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTI-' INCHES
TYPE OF CONSTRUCTION
GROUP
FIRE ZONF
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS FT. FROM CTR. OF riW:
FRONT ~DEEXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZONF
AUTHORIZED SIGNATURES:
/s/
ISSUANCE DATE:
SLOG PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 10 schedule all reqUIred construction inspoclions. Call 687-4061 10 schedule all reqUlrll'Jd
septiC system inspections All construction shall comply With lhe Stale BuidlintJ Code, 0 E.a standards
tor subsurface sewage disposal and the Slale Plumbing COde. All buildings require a C8flihcate of
occupancy before bemg OCCUpied
(See DetaIls on Aev9fse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, OEPT, OF ENVIRONMENT Al MANr\qfMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, _.- III 97401
C55.13
~
.
.
SLAB FLOOR
PLUMBING GROUNDWORK
.
,
ApPROVEO ~ LTISAPPROVEO Cl
DATE.~-~~-?L.. INSPE~ ~- ~,,,pti)
t7. - Ak 74 (!J ..{"
REMARKS....~ &u, N~Ik..
GAS PIP I NG GROUNDWORK
ApPROVI:O / / 01 $APPROVED Cl DATE
INSPECTOR
REMARKS
ROUGH PLUMB I NG
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVEO ~ 01 SAPPROVEO Cl DAn-"Y'- fl- ?t::
INSPE~~)
..
REMARKS
FINAL GAS PIPING
ApPROVED Cl DISAPPROVED / / DATE
INSPECTOR
REHAR)C,S
CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE Cl NOT REAOY TO ISSUE / / DATE
INSPECTOR
REMARI( S
l
eANE COUNTY PERMIT FOR:
.
PERMIT NO
CONSTRUCTION [ J MOBILE HOME [ J PLAN REVIEW [J CHANGE OF OCCUPANCY [ )
Owner
NAME
ADDRESS
CITY
ZIP CODE:
PHONE
Contractor
NAME
ADDRESS
CITY
ZIP CODE
PHONE
0.5. Reg. #
Twr
Range
Section
Tax Lot
Codp
Census Tract
Subd ivision
Lot
Block
Acreage
Width
Access to Property (Road Name):
Depth
Existing Structures on Property:
Directions to Property Address:
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
SEWAGE DISPOSAl.
PUBLIC [I SEPTIC TANK I
BUILDINr.
PLUMBINC
3'1, SURCHARGF
MOBILE HOMF
WASTE DISPOSAL
PLAN REVIEW
OTHER I I
PLUMBING INSTALLED BY
OWNER [I OTHER [I NAMF
WATER SUPPLY: PROPOSED [ I
EXISTING I]
[ I PUBLIC
( ] COMMUNITY NAME:
I ) PRIVATE WELL
[ ] OTHER SPECIFY.
TOTAL
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS MIN.DRAINFIELD lIN. FT. MAX. TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION
GROUP
FIRE ZONE
STAY 100' FROM ALL WELLS
USE CLASSIF
SETBACKS FT FROM CTR. OF ,!\N.
FRONT SIDE EXT
FT. FROM PROP. LINE:
SIDE INT REAR
ZONF
AUTHORIZED SIGNATURES:
ISSUANCE DATE
is,
BlOG PERMIT WHITE
OFFICE COPY WHITE
COUNTY TAX PINK
PLUMBING -- CANARY
BUILDING -- GREEN
SANITATION GOLDENROD
IMPORTANT:
Call 687.4065 \0 sChedule all required construction inspections Call 687-4061 to schedule all reQuHed
~p!IC system inspections All canstrucllQn shall comply With the Stille BUldllrlg Code. O_EQ standards
for subsurlace sewage disposal and the Stale Plumbing GOOf" All bUIldIngs reQUirE a Cflfh"cale ot
occupancy belore being OCCUpied
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX 135 EAST GIn, EUGENE, OREGON 97401
.
.
..
SITE I NSPECTI ON
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARK S
FOUNDATI ON I NSPECT I ON
ApPROHO L-! D,SAPPROVEO L-! DATE
INSPECTOR
REMARKS
FRAMI NG 1 NSPECTlON
ApPROVEO ~'SAPPROVEO! !
DATE
",). ;;L - 7 b
Q/) /,-) .
I NSPECTORl~" (;;, I.
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO LEi' DISAPPROVEO 1/ DATE J .;L3-1?
/;f/I
I ~ /. .2 .
INSPECTO~ _. ~~
=
REMARKS
DISAPPROVED
. . If)
CJ DATEI-/-/f1tl INSPECTOR.:;;'7
I ~
ApPROV[O
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE CJ NOT READY TO ISSUE CJ DATE
INSPECTOR
REMARKS
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:2 '-17 c2.
. NOTE:
.. .. PERMIT iF
NO PERMIT WILL ~ISSUED UNTIL THIS APPLICATION ~ BEEN APPROVED
/J..).-7f:,.
.
APPLICATION FOR:
MOBILE HOME CJ PLAN REVIEW CJ
.x CJ OWNER t8~ i3~ ":<7"72 ~t-<_..-..QA J . I J/fJY?7
tl/1 ' 1(7 AddreSS) . C~ Zip
iVl CONTRACJI14j{9/lXJ~ 3:J.:>S" (~jM(h, J... . L..b 9.?Y?1
~ Name Address 11 - - CiP/-....o Zip
O.S. REG. II
CONSTRUCTION CJ
CHANGE OF OCCUPANCY c====J
'):J..t.-!5(,9Y
Phone '
?;;.. ~ -/.32.0
Phone
I '1 Range ?, Section 1,(;u.J.. Tax Lot
, . llA->-I .._ . C\\--l....e{ /1.0.0..- 7
Subdivision~ (_~Lot (
)<. ACCESS TO PROPERTY (Road Name)~ C-t)......
~~ Existing Structures on Property: ~~
j Property Location - AddreSB/D'\ctions: :2 t;? 2 CU..aA..'-4/)'--.:Q ~
)I Twp.
Code
Census Tract
Block
If
Property Acreage
Width______Depth
.,
.J-,..,Ld
./
~~-
Below for Office Use Onlvxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I\ddA ti Oh 144Q.';. UBedrooms
(rjnc;.p In 1.\Vi~ ....-nnlrh.}
.4 Valuation
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SEWAGE DISPOSAL:
Site Inspection #
t:: ~ i 5It"
Existing Sewage Disposal System CJ or New S CJ
Public [=::::J
Other Community ~ Name of C nity or Public System
WATER SUPPLY:
Well Spring ______
FEES:
Bldg.
Plumbing
3 % Surcharge
Waste Disp.
Plan Review
Mobile Home
.1..,-\. 00
Co .00
,'91i
PLUMBING:
Installed by Owner [=::::J
Other
Name
PLUMBING FEES:tfJ 3 .
~ ~f Fixtures
Sewage
Connection
Water
Connection
PLANS FURNISHED
FACILITY PERMIT
TOTAL -:J
.
o CASH
:l,n.'U,) ~ECK
[]2t'Yts CJ NO Il YE/J.~J ~O)
Signature of APP~ r~J ,2.. J/ ~t5! J.I..u>.;P
Fee Received BY:Z1ViA~ Vl..t Date: -ci7..::.:]..J..,
Min. Septic Tank Capacity
DL
Drainfield Required - Lineal Feet
Maximum Depth
Type of Construction
/"
(~AI Group
I
Fire Zone
Use Classification
Bldg setb46ks - from Center of Road Right of Way:
. ( . ~(
Front Side Int. '-.) SJ.de Enterier
Rear
..........,-1
Zone tl6. r( reA- \
PlANNING: DATE:
~.::/ ~ 7~
CSS-1Z LANE
SANITATION: DATE:
'-r\')~ k~..u_>fI...dwJ.- (-
COUNTY DEPAR'IMENT OF ENVIRONMENTAL