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HomeMy WebLinkAboutPermit Building 1976-12-2 .;;:.",,-:;!-!,,:'i .J L. ~;Y ~,' ,f " ,~ 2J ""~J 0 -2 ...;::r RS, T I f lir>=.~ - ~ --= 500' JOB LOCATION ,f /' /.; ~;_., f "'/~' ~?' ,:) . , '^'. /7 r ~. PE R M I T # ::? 6% rt.~ 'A~ / ,. t.. t. /. . / -..-,4 ;-~..f ,."7..-(.? .' I' J" ~ A,.-? ;7 . , -':7/_ ~ ,,);:.\,- -~-;,.,. C,.....~,' ....~;J'" .....,... _ lP'.l--'f...o ~~ II ~~tJ _ J fll ;.: ~ , l' 1i'ld '/J.. Acreage or Lot Sizp ,It./. a.,c;~' Partitioning #. "', ( ) Completed Subdivision :;~L.rl~~kvt: ~.x::Jur''P:--'I-:; ~, Contractor's O.S. # _ ' Lot t.! Block ;;;2..."" ,.. tlA~ ~ I /i- 1.l1/?~ j/./ ;/7.....(~ II .'" ~1 i,,,?,t?" '-<J/7 ~{r':;.., APPLICANT'S NAME AND ADDRESS /.//14U f'5..",LIJA.A.ll.-d>, v--" 0 N#~'; ;~"l/-~J _d~..A--~~~"~ Phone j'u,," -.:,:)17;~ OWN E R'S NAME AN D ADD R ESS _::s::,.~.-yy(L<> _-= "., ,#" ~'.r !l Jl Phon~'" ~,~' - ...-, CONTRACTOR'S NAME, AND ADDRESS '. Phon'" Mail permit to (>)<'t.\pplicant ( ) Owner ) Contractor. ) Prefer to pick up. .Cill (owner, etc.) when ready. , .- ;"",..., l '. ,f j / " 11 .~ " ~TRUCTURES NOW ON THE PROPERTY ','-;?J'/L.r.~:;A.,{A...# ~71'Le........ ~ (t;LvC4t2~{.", ,. , , ' j THIS PERMIT IS FOR .i..//:".<....,.I'../ Jr.... ~,-?.Z~..~L..t':.,..- "ei./~~ /Ill') ,Pln-A/S # BEDROOM~ ~ #PLUMBING CONNECTION~ W ATE R SUPP L Y '(;~t~~lI-,(~::' - t7 \' l7 SE':~~ ~t;~r:.,B ".-;'" A'-1,,'$.:k-;z-tJ' ~~~: ~,: - .3 q b-7 Z- ('\. / tJ ,~ t'..~. PLUMBING BY" LANE COUNTY PERMIT TH IS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF . , .. I hereby certify that the above statements are true and a'ccurat~, and that I have the following legal i...oterest in the property: X owner of record; contract purchaser; ,potential buyer; realtor or agent. I further certify that (if not the" owner) I a'm authorized to. act for the owner of record, and thatsaid owner is aware and approves of this action. I hereby agree to comp~ylw'ith all appli7~bJ~_~_q,~es relating to this permit. ... ... Fee Paid $ q::J "7 Signature A""'j ..t,t-.f.', 2" ...l"Ci{':tti:J Date 1;.;;2 ~""I"S) ,"" 7 ~ ' Y...,..- , l' ~ i f J v -.. ( ) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DE~T. ~ CJ/ ) SPECIAL PMT. AREA. MIN. ELEVATION: . ,~ SANITATION Minimum. Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth . .,.. BUI LDING " Type of Construction Wse Classification Group Fire Zone ",,-$' Comments: '~I"-~'\ ....-.... ,*' " " -:;- \, Comments: f. ~l! '"". .-~ a. tl,<f:r.e,~ -'tj'..",~~-~ ,,". ~.t '" " -~ '-'j "') ( 1 fJ -.f / .( It~'" ~~~ lot By: Date: By: ''4-: /;:'e ,,,.:.~.'.i...c"\r,,'-fI1.r-'U' i~,~.;,. {:<j~';}--f Date: ,";'. .co~, ",,> ""-"":~.k'!i;..-' '- "",' ,r;t I P_I., ..f-",~ l' ~'f'" . ~. PLANNING REQUIREMENTS SATISFIED, By: (JDate: 0': .' l' Date Issued: ZONE: ,PlJ-/,l1 hI SETBACKS: FRONT ~l'b SIDE FACING STREET. ",,,,,,, (FROM C/Ll INT. SinE YARD h REAR -1> (FROM Pill , . t ' ~ , LANE COUNTY DEPARTMENT OF E~VIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 f 'I !, ' C55-13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. P~RMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE ," .''' ~, , ... -#~ l~'-. '.' ..,.,.'. ,,' " ~ ',.~','. ' .. tl1 .. '. j. OUNDATlON ,IN$~.i:>N., . "'9".~'/..1 /" ( 0""'"0"0 I ... REM,I,RKSi' .:. , ~" " , ., '" ". ,j . \:~ tRAMING ';NSPECr : f ~'~l~::::,::D ,I ~~~ O'''''R~VED I. I . I ,~, ~ ~' ' ~) ~,~,'" , , .' c,. ~ ~1-/0R S~EETR~CK 'I NSPECT ION 'p " '" ,'. ' . . l(( ~t::::~:Dlh~D ./ I D~.l" ." . " " " ....~.. .:~,:~~ . .... . . ,i ~;:~~~;:~,:t~~ROHDn / / D~~~y:X/-d''';'OR'~ . "'J, R'""'=~ JI::i' ~~d"Ye ~_.4--;'-~L7f d'l , ...~~~--_!H'. '/A...-n.) 'F2,;j--/~ ~~7~ ~ .: CERTI F1PAT, OF OCCUPANCY . .~ ' . (... . .~. . '~...;~' . tL.. .' .. 1!~T::': "f. '. ~~;:"( ~";'", 11 , , / / DAT.~k.!L -,~;r NSPECTOR 'I y/~ //- , . ~,t.;, :~ .; "l- t / DAH .I).IC-~~I'~SPECTOR;'~ I .' f C/ , : ,i: D't~~~/'; dN""'DR. '~ "}o . // ~ , "., !I""!: ,c .'. INSPECTOR I ':, ., ;RE,~DY:TO.lsSUE '/ J NOTR.EADYTO ISSUE /. ./ DATE INSPECTOR [,> REMARKS ",.' ,~... ~ . /~/' _ . . ..~/ '/. "7' ---) '-;i ':) ,L'""'~). , TR~..,. IT:, / .,t --"7 -,,,,,,',,7,c-a:O U v. ., .r'0~~0 ~:2/ 'i~;(; ~~l~ .: .~;PIDt.. Plan. " .Job Location (Address.)./'/95:-:-. Permit itIlJIl-.""3l.f {)~-7? For Permit itjY'06-.:7/-/- Fat' Permi t it,;?y;'~j:;-7 (0 For .// r/. .iI! .:. .\~ /(;. /.?r:t.~sJ~,:,P-;/ 1&/1-ti-~!! '-+r:(~, . Permitl it v Ii Fpr Permit it . Foi Permit it For . , ."" ' \. . Vicinity Map .. \ ... ,. // ,.-// {'~~ >\ . ",. "{ j'.....\" .i\ .r: ;,~~,,, ! \.' IJ""\~ .. I "",,,- (>~ .., '. ! 'I. . \ :~, I. . \ .\ ... ::) i ' ~="'=~~ ,~~~.., _' . \:-:-' ~1 \ ' '\ \\ '''\'' ~ ~ '-. " " . : .~_ i \\ " I ... '" -/. \~, i .)b / ./ . / "/ I. J 1. 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