HomeMy WebLinkAboutPermit Building 1978-11-16 (2)
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JOB ADDRESS:
TRS, TL:
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
Subdivision:
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and!or other remedies allowed by law.
,rstruction approved by this permit:
Water Supply:
Applicant! Address:
Owner! Address:
Contractor! Address:
Contractor's OS #
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
~ ~onstruction Value:
Telephone:
Telephone:
Telephone:
# Bedrooms:
# Plumbing Fixtures:
# Employees:
Zoning: Partitioning # Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: ; interior property lines: ;rear property line:
Special Instructions:
Parcel Size:
; centerline of road,
For information call 687-4394,
Site Inspection # Installation specifications:
lineal feet of drainfield required; max. depth of trenches:
Special Instructions:
gal. min. septic tank capacity;
Setbacks Septic Tank
~erlor property lines 10.
_e of road right-of-way 10'
Building foundation 5'
Wells, other water sources 50'
CONSTRUCTION
PERMITS!INSPECTION
DIVISION
Directions to Site:
Date Issued:
Drainfield
10.
10'
10'
100' For information call
between 8:00 . 9:00 a.m.,
Type of Construction:
Instructions:
Fire Zone:
Use Classification:
Group:
For plans information call between 8:00 a.m. and 9:00 a.m.,
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
lane county
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DEPARTMENT OF ENVIRONMENTAL '''AN.~GEMENT
COURTHOUSE I PUBLIC SERVICo ", '"
By:
W~.O
~ FLOOR
PLUMBING GROUNDWORK
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ApPROVED L:::7 DISAPPROVED L:::7 DATE
REMARKS
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GAS PIP I NG GROUNDWORK
ApPROVEO L:::7 DISAPPROVED L:::7 DATE
RCWARKS
ROUGH PLUMBING
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INSPECTOR
INSPECTOR
ApPROVED. fZf D'SAPPROVED L:::7 DATE /6)-.;:1 g'-7,frNSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED .c::J DISAPPROVED' L:::7 DATE
REMARKS
INSPECTOR
FINAL PLUMBING
Ap~.ROVED LEJ D'SAPPROVED L:::7, DATE~-~ -?'9 INSPECTOR
REMARKS
FINAL GAS PIPING
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I
ApPROVED CI DISAPPROVED CI DATE
REMARKS
CERTI F I CATE OF OCCUPANCY,
READY TO iSSUE CI NOT READY TO ISSUE CI DATE
REMARKS
INSPECTOR
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INSPECTOR
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