HomeMy WebLinkAboutPermit Plumbing 1977-12-22
.. (..'V/'
~f<~
::/ef.7
"TRS, Tl
, " ",1:
,).'...,....;M'-" -
17-03-22.4.4
TL2300
/ ,
JOBt LOCATION
~o HAYDEN BRIUGEJ1\Y SPRINGFIELD
,
'''~'_--..-':l.' . '" b..
.L l'-:,; 1-\'\- V-\
,~\CD
OREGON
l'{j;'
~
LANE COUNTY PERMIT
, :
'. Acreage or Lot Si7&>
. Contract~r's O.S. # _
Partitioning :#
.(
) Completed
Subdivision,
Lot B locI<
SPRINGFIELD OREGON
Phonp
Phonp
Pn~np
(owner, etc.lwhen rE~a1=Jy.
~
,;;
APPLICANT'S NAME AND ADDRE~C::
OWNER'S NAME AND ADDREC::C::
", CONTRACTOR'S NAME AND ADDRESS"
;i N.lail permit to (X)) Applicant ( ) Owner (
FRANtZ THOMPSON
::>AJY11!:
SO HAYDEN BRIDGE WAY
746-4167
!' .
.-
,
~: ,
.)l STRUCTURES NOW ONTHE PROPERTY
STORAGE AREA 144 sq ft:
) Contractor. ( ) Prefer to pick up. Call
EXISTING HOUSE AND DECK
r:.
,,~;
THIS PERMIT IS FOR
WATER SUPPLY
SEWAGE DISPOSAL
# BEOROOMS # PLUMBING CONNECTIONS
EXISTING SDS "
S.I. #
rainbOtv water dist:
NA
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
PLUMBING BY
NA
,'....
I hereby certify that the above statements are true and accurate, and that I ~~lVe 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'tc~said&wf1er is aware and approves of this action. I hereby agree to cO.ffil?ly with al!.aPRlicable Codes relating to this-per:mit, '
'I \ a l.::'::;) " ,,~ ..~. _ '\.' --...... c--
Fee Paid. $ , ., '. " .; . Signature "~ ~,""" 'C, Date '\ ..~, Q.
(-)NEW ADDHESS'C ")FACI,LI'TY,PERMIT TO TRANSPORT~TIONDEPT: (. ) SPECIAL,PMT, AREA. ,MIN, ELEVATION:
. -
, , " BUILDING ' ;:y--
MinimumSeptic Tank Capadty (Ga(lons) '<c5A1 Type of Construction' 'Group' 3
Drainfield Required-- Lineal Feet. V .A"_A'''.:;p~rJse Classification' ,
Maximum Depth /J.... .' ' ,/,~.l" .. Comments' cI"
'} ~om~ents: ~ ~~<::tAe~.,'_~~?I'7-~ /0 (V~ . '..
',~ cdRf~~ cf ~ ..iZ~ ~,A~" ~
, u kv V. t. .~ 'ri -'d -/J"1'
).~ ~r; ~ '{)' /1~~.f-'~~ 17{/~1/-vu';k...~ ,
\. V
. By 4. -4'-""...__ Date:~.:Z--7--('ii?-'BY: %~ 4- ~[)ate: /2-2e>~77
.: PL~NNI~6'-REQ,Yll\REMENtS'SATISFIED. BV:~...A.:~--Y~ ,,--.:L~ Date: "\"::"bcc.~) "\0 - , Date Lssued: C1g.,c.2Z/ t'9/1..' ...~
,ZONE: .~~1~ SETB~CKS: FRONT\~ . SID.E,FAC;;IN,G STREET (FROM CIL) INT, SIDE YARD":::> REAR':'::::>' (FROM PILl .. ..~:
:: LANE COUNTY DEPARTMENT OF ENVIRON~~TALM~~G~'~:12'5":~ST 8TH AVE., EUGENE, OREGON 9~401 PHONE: 687-4394 ,';
Fire Zone
, SANITATION
.....f.
'l'...
,
.'.:)
, "~
.j
POST T.HIS PERMIT ON MAIN BUILDING ATSITE
'~
.."
-.\
C55,13