HomeMy WebLinkAboutPermit Building 1977-8-9
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LANE COUNT~"'PERMIT :~ .
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Acreage or Lot Si7'" Partitioning # ) Completed Subdivision ~X:;W",';O'I?-I/~ //../.AL:t...,.e:1:":,"/~' ,\\\\u
Contractor's O.S. # . Lot I' - Bloct I ",;r ~ \~
APPLICANT'S NAME AND ADDRESS ~~'7,?.,~~.,,~~U'h~ /7.2?J "/"li,~;;(;~.,e Phonp ?1t'7-=.:r?~/
OWNER'S NAME AND ADDRESS t.;::::~? .;r;n.-R_ Phonp
CONTRACTOR'S NAME AND ADDRESS Phonp
Mail permit to ("",)"""APplicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready.
~TRUCTURESN' ~~HEPRO RTy.~~~2A4fi4-~~-~/~4..r,;d4-;J-'v-~d ;V~~_
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THIS PERMIT IS FOR H'/J'u/A'./ ll/J/--;.e:l:1J~-7~'---"-~~v&.fJ.. # BEDROOMS / # PLUMBING CONNE~T'IONS
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. /h.___" SEWAGE DISPOSAl _..e'~--a~ S.1. # .
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THIS PROPERTY IS wn HIN ONE MI LE OF THE CITY OF , PLUMBING BY
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JOB LOCATION
WATERSUPPL.:
I ,hereby certify that the above statements aretrue--andaccur:.ate,'and that I have 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 that said owner is aware and approves of this action. I hereby agree to comply with all applicable Code;uelating to this permit.
Fee Paid'$/4,~ Signatur:-l it /t-, L./: "'-:f:.-I'..i:>j((.a-V Date
( ) NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT.. ) SPECIAL PMT. AREA. MIN. ELEVATION:
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BUI LDING
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SANITATION
Comments:
Type of Construction Group .Fire Zone
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7-";;;0-.77 Date Issued: ( J!.JJ1<;"U )-/ f
(FROM CILl INT. SIDE YARD REAR ((~ROM P/L)
LANEC9U,~TY DEPARTMENT OF ENVIRONMENTAL MANAGEMEN:, 125 EAST 8TH AVE., EUGENE, OREGON 97401
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7 POST THIS PERMIT 0 A.IN BUILDING AT SITE
C55-13'",. BLDG, PERMIT -.WHITE; BUILDING-GREEN; PLUMBING NARY; SANITATION-GOLDENROD;' OFFICE COpy - WHITE
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PHONE: 687-4394
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SLAB FLOOR
PLUMBING.GROUNDWORK
ApPROVED / / DISAPPROVED / / DTE INSPECTOR [..:
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REMARKS
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. GAS PIPING GROUNDWORK ;
,,,I ApPROVEDc / / DISAPPROVED / / DATE INSPECTOR
REMARKS
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ROUGH PLUMB I NG .
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REMARKS
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ROUGH GAS PIPING ,"I.
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.I I INSPECTOR
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REMARKS
FINAL PLUMBING 'I.
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ApPROVED DATE
REMARKS
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ApPROVED / / DISAPPROVED / / DAT~' INS PE C T.OR
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CERTIFICA~E OF OCCUPANCY
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LANE COUN;fY PERMIT
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Acreage or Lot Size
Contractor's O.S. #
Partition i ng #
) Completed
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Lot /
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APPLICANT'S NAME AND ADDRESS ~." _ J .>.:.:.....~ -'c'.::
OWNER'S NAME AND ADDRESS ~ ;~i:'"-:-:' '.--"'"
CONTRACTOR'S NAME AND ADDRESS
Mail permit to (.:....r....Applicant ('~_) Owner ( ) Contractor.
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".STRUCTURES NOW ON THE PROPERTY ......,-."--.. ;:... (,;/
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4THIS PERMIT IS FOR/':: ),:j~,':..;~; /JJll--d,;:;;S-:-7.~
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(owner, etc.) when ready.
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) Prefer to pick up. Call
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# BEDROOMS / # PLUMBING CONNECTIONS
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WATER SUPPLY
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
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SEWAGE DISPOSAl
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PLUMBING BY
, IherebY.ce.rtify that the above statements are true and accurate, and that I have 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 that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit.
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Fee Paid S:11:' " r' Signature :.. It:,,,/
Date
) NEW ADDRESS
SANITATION
) FACILITY PERMIT TO TRANSPORTATION DEPT:
) SPECIALPMT. AREA. MIN. ELEVATION:
.,rr
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
'Maximum Depth
BUILDING
_ Type of Construction
Use Classification
Group
Fire Zone
~ Comments:
Comments:
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PLANNING REQUIREMENTS SATISFIED. By: ,t:;" <<:.'".;. ___'"
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ZONE: .l'r 'n- SETBACKS: FRONT SIDE FACING STREET
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Date:
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Date:
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(FROM CIL) INT. SIDE YARD,. REAR
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(tROM P/Ll_
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
IPOST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
PHONE: 687-4394
C55-13
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TEMPORARY MOBILE HOME PERMIT
APPLICATION lI\ffi~-;:)'h~I.o-Y)YJ
POSTING DATE.!/r t-lr U~
~OnK\ ~\ 1..0 -'Ca {'\
(APPLICANT),
], YJ ~?J V"r\ C~L\ \ Mn1 c:: l A 0( (( Y'O'/
(Address of Property when> Mobi] e IT<!,me will he Located)
HAS REQUESTED A TEMPORARY MOBILE HOME PERMIT FOR A PERIOD OF ONE YEAR AS
PROVIDED BY LANE CODE 11.100-10(4):
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A personal, but not necessarily financial, hardship
exists whereby it is necessary to have someone living on
the same premises that support the applicant's dwelling or
mobile home;
The mobile home will be used for the applicant's personal
Use during the time a conventional dwelling is being con-
structed on the premises, after which it will be removed;
The mobile home will be used by an employee of this applicant
for bona fide agricultural, forestry management, or mineral
extraction purposes;
The mobile home will be used for residential purposes for a
watchman or caretaker, in conjunction with a commercial or
industrial use.
ANY NEIGHBORING RESIDENT OBJECTING TO THIS PROPOSED USE t~Y CALL THE
DEPARTMENT OF ENVIRONNENTAL MANAGEl.tENT FOR FURTHER INFOR..."1ATION. IF NO
WRITTEN OBJECTIONS HAVE BEEN RECEIVED WITHIN TEN DAYS M~D THE PROPOSED
USE MEETS OTHER CRITERIA THIS TEMPORARY MOBILE HOME PERMIT WILL BE
ISSUED FOR A PERIOD OF ONE YEAR, RENEWABLE ANNUALLY.
DEPARTMENT OF ENVIRONMENTAL
LANE COUNTY ANNEX
MANAGEMENT
687. 4065
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lane county
MAY 24, 1977
Jo ANN TUCKER
1723 MALLARD
EUGENE, OR. 97401
RE: RENEWAL OF TEMPORARY MOBILE HOME USE PERMIT No. MH
221)-76
A TEMPORARY MOBILE HOME USE PERMIT IS VALID FOR ONE YEAR ONLY, AND MUST BE
RENEWED ANNUALLY. THE ABOVE LISTED TrMPORARY MOBILE HOME USE PERMIT WAS
ISSUED ON MAY 28, 1976 AND WILL EXPIRE ON MAY 28, 1977
IF YOU WISH TO RENEW THIS PERMIT, PLEASE SIGN THIS FORM AND RETURN TO LANE
COUNTY DEPARTMENT OF ENVIRONMENTAL M^NAGEMENT WITH THE RENEWAL FEE OF $10.00.
AN ADDITIONAL LETTER OF EXPLANATION OF THE NEED FOR A TEMPORARY PERMIT MUST
ACCOMPANY THIS RENEWAL IF ANY CIRCUMSTANCES REGARDING THE TEMPORARY PERMIT
HAVE CHANGED DURING THE PAST YEAR.
* * * * * * *,* * * * * *
PLEASE RENEW TEMPORARY MOBILE HOME USE PERMIT No. MH
..
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No CHANGE IN CIRCUMSTANCES DURING THE PAST YEAR.
THE CHANGES INDICATED IN THE ATTACHED LETTER REGARDING THE TEMPORARY
PERMIT HAVE TAKEN PLACE DURING THE PAST YEAR.
WI?/) /1"" A ~ /7 --7 /J ? j 7
SIGN ED: fd' A A/ ~/ /A'/.fl./t? .J//I./
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M74-97
CONSTRUCTION PERMITS & INSPECTION DIVISION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
COURTHOUSE - PUBLIC SERVICE BUILDING / 125 f:AST 8TH AVENUE / EUGENE, OREGON 97401 / PHONE Ib031681 4065