HomeMy WebLinkAboutPermit Building 1973-7-6
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USE PERMIT I" '~
PERMIT NO ~: l 1.0~,.". i'"'.
PHONE
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LANE COUNTY BUILDING PERMIT OR MOBILE HOME
BUILDING 0 MH N]( )
MAILING ADDRESS I
326, Tlllms7OPJ: f(GJ.AD. 5p-nir~r~~CI_D^ 01EGlDN
MAILING ADDRESS I
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, PHONE
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PROPERT". OWNeR
~~7ILCSv TAl:jl'rOQE
CONTRACTOR
PROPERTY lOCATION - INCLUDE POST OFFICE
I ~~lM,D U^V \ Cl D Y.
PROPERTV lEGAL DESCRipTION - METES, BOUNDS
FILOCRT G~ovc 4 TH ADDlflON LOT 6 ~lOCK 6
TWP RAI'<GE SECTION
18 OJ 02
APPL
NAME IM.MAINM: STILES
& 8265 TMU~STIN ~D.
TAX LOT NO
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CODE
CENSUS TRACT
MAILING
ADDRESS 5PR IrJCF I EL D, O"iEGON
FOR MOBILE HOME PERMITS ONLY
No of Bedrooms (2)
STRUCTURES TO BE BUILT THIS PERMIT
1f)~4co
EXISTING STRUCTURES ON PROPERTY
Mot'~c
LEGAL ACCESS TO PROPERTY
I t'R AIM'> t.JtiV
PROPERTY SIZE - FT
WIDTH
DEPTH
AREA
Connect to EXisting Sewage System D
TYPE CONSTRUCTION SQ FT # BDRMS
New System ~,
VALUATION
CLGVAliCr'l !}J;S) n. AGOVE SeA LClJCl.
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAr~ REVIEW
Pt\Rr< TRAilER
<I:
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER NAME
WATER SUPPLY
SEPTIC TANK 0 OTHERD
20.00
q.t)O
PUBLIC GO,
o OTHER
,-3.Q..... 00
lOTAl
$ -51.59-
________'____,__, -- -(".OUM,f-,~-B~II_D!N_G-B;--S_AN!_'fA-n\)N-SPEOFCAT!ONS-- --- ,- -
N,I~1 '>EPTiC 7MJ/< CAPA:ITY
D"-A,,">! Fli'1 () REG~IIRED
UN FT 1301 TPcN'H "'I'D fH fT
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3~a
WIlH [,1~r BO'( GAL 900
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",'OL.D 7~"'N"""""l'J TO A 211 '''l''"'l Mt"li1UM "'cr"'"H. ST'^Y '10....... """'0"1 ""r">f'I"'cnTY LIME IlMD TRAIL-n
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Pinl All PA~lS OF D~AINflr:LD..
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TV!'F Of STRUC7URL
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fl(CUPMKY
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PUBLIC UTIL EASEMENT
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~upg~ ~EJB4..C~~u FT
FRONT 45
/s/ J. E. SOSS BY CNARf.E"S HAREt\~Cill
FROM CTR OF ROAD RIGHT OF WAY I NLAt~D \! A Y
SIDE INT 5 SIDE EXT ~O REAR I
AUTHORIZED SIGNATURE - DATE
USE CLASSIFICATION
'5
DATE
G.V. GRAY~ SANITARIAN
7/6/7i
so
BLDG PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - Plt-iK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Constructlonj to comply With uniform budding code and county regulations
covering plumbing and sewage disposal All buddlngs require a certificate
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of occupancy before being occupied
(See Statement on Reverse Side)
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(POST THIS PERMiT 'ON MAIN BLDG AT SITE)
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LANE COUN1Y, BLDG & SAN DIV, COURT HOUSE, EUGENE, OREGON 97401
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PROP~Rn. GWt:fEit.: ... ,~AILIN"G ADpRESS \ ' " ~ '
f:'1'u..t:tt. TAi..Ilf.\_~, t" 'f~€fl 'ft'IUW.~?'~t Rf1iU... ~;'\H~~".Ii.:~HU.~...,
CONT~ACTOR \ " .>\, \ MAlLIN? ADDRESS '\ ,","
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PROPERTY lOCATION - INCllTDE~P6'S,kOFFlCE "- \ '4 '~~ \ ,.'
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PROPERTY lEGAL DESCRI:TI~N'- MET,E~,~ BOUNDS \ " ., ~ i. - s:.. " ~ ~' ~ \ \.
f !j~.,t'tt~t. GHClit .b t~ Al):tH'n ca lo-T' :0 l~.GCt~ (; \ \.' ~1' \ ,',"
TU~))P ~;NGE SE;,ON TAXI LOT NO, ,CODE \CEN~~;~~CT .
EXISTING STRUCTURES ON PROPERTY
COUNTY BUILDING & SANI1;ATlON ~P~~IFICAnoN$
DRAIN FiElD R:~UIRED \ i,} ~' ,'\i i ".<:t'
UN, FT 1..::,0 1"" JTRE~CH WIDTH FT, -:J OR SQ. FT,
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APPl.
NAME
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& t265, r;'~JS;:'Jl' ~ to a~
MAllI'NG
ADDRESS fS"R. NG'.V' 8 i1w;>' '(;7,1:('>Il,N
;FOR MOBILE HOME PERMITS ONLY
'.. No. ~f Bedrooms (2) '" ',)"
STRUCTURES TO BE BUILT THIS PERMIT
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SEWAGE DISPOSAL
PUBLIC D
BUilDING
WASTE DISPOSAL
PLUMBING,
PLAN REVIEW
, PARK ,TRAilER
, SEPTIC TANK D
OTHERD
'I:.
FEES
!2~. 00
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'1.n..r~
TOTAL
1l",%I. ~O
$
-,
i MIN,SEPTIC TANK CAPACITY
WI;rH DIST, BOX: GAL 900
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TYPE OF STRUCTURE
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OCCUP.ANCY
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BLQ'G}'SEJ,BA'G!<.S:, F\, FROM eTR, 0~..R9AD RIGHT OF, vif:..y , UU.A"JD -WIiV
FR6.NT ' li:J", ,-,SIDE IN~~ I/",~"/t 'SIDE EX;','" lkl . REAR'"
\, AUTI'fORIZED :SIGNATURE - DATE'- ,,",.',; ,
,1-~/ '>>orL $ eJ.j:1t~ t\'f '.fAP"~~tl t1!~Rf3A"Qtt
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BlDG;~,PERMIT -.WHITE
OFFICE, COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUilDING - GREEN
SAN'TA"\ - GQ"'NRQC
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MdBi~E HOME
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USE PERMIT /J) ti ' .~'i: 1:
plRMIT No. '~~ '<6h,,,',i'>':"
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PHONE
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PROPERTY SIZE.:... FT.
WIDTH
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Sewag'e ~ystem 0
SQ, FT, :# BDRMS
DEPTH
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New Syst~m
VALUATION
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Connect 'to Existing
TYPE CONSTRUCTION
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PLUMBING INSTAllED BY
OWNER c:J' OTHER: NAME
WATER SUPPLY
PUBLIC []IX " D' OTHER
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USE ClASSIFICATION
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{i~~!i'" (~M't;, ~~MHTMJjtAN ' ilfJ/1l3 ;$$
'Construction to c~;m~iy with uniform building code and county regul6ti01ilS
covering plumbing d,nd' sewage disposal. AU buildings, require a
of occupancy, before being occupied.
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(POST THIS PERMIT ON MAI~ BLDG. !,-T SITE)
lANE COUNTY, BlDG, &, SAN. DIV" COURT,HOUSE; EUGENE, OREGON 97401
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(See Statement on Reverse Side)
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SITE INSPECTION
ApPROVED I I DISAPPROVED I I DATE INSPECTOR
REMARKS ~-P~ 4'fYAtliut~ 7-~ 4"'?'J~ I
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FOUNDATION INSPECTION
ApPROVED I
I DI SAPPROVED I
I DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED I I DISAPPROVED I I DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED I
I DISAPPROVED /
I DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED ! I DI SAOVED I( I DATE I N,SPECTOR
RE""" ~/( ~~dkr~ ?~a.-2~
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE / I NOT READY TO ISSUE / I DATE
INSPECTOR
REMARKS
/VI It 3~41.~ -D/tIA ~ r.r ~ Jfctr;~iY~ SJ",.I{t)7)
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(~Bu"dlng Permit Application No~ff "3ttf-71
JI't.h.r6Hn. L.~ '1
T---,R ~ S 'Z. TAX LOT
CENSUS TRACT
BUILDING SITE EVALUATION
~
() Site Inspect ion
() Pre-Permit Investigation
APPLICANT:
N/\M E c; 7 _. L~--S
ADDRESS
PHONE
DATE
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LANE COUNTY PLANNING DEPARTMENT
I.
Zoning Ordinance Compliance
(Zone ~~ ~H ~
SubdivIsion Ordinance Compl lance
NOT
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( )
( )
( )
( )
NO
YES
NAME
DATE
3.
4.
ReqUired Access
( )
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( )
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2.
BUIlding Site (Area. Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
BUILDING INSPECTION SECTION NOT NO ~ NAME DATE
app I icab I e
6. Plans Submitted ( ) ( )
7. Soil Stab" ity (foot i ngs) ~ ( ) ( )
8. Flood Plain (X) ( ) ( ) ~7/~7L
9. o the r (see Comments) ~ ( ) ( ) 'T.. J---?"
---..-
COMMENTS:
SANITATION SECTION NOT NO YES NAME DATE
app I icab I e
10. Sewage Disposal ( ) ( ) :~
II. Usable Area ( ) ( ) A~
12. Water Supply ( ) ( ) ( ) ;/W. ~ U
_~"7
13. Other (see Comments) ( ) ( ) (I ) / 1/S"'" I~
COMMENTS
TO APPLICANT:
( )
( )
( )
BUIlding Permit / Site Inspection
Can be approved.
Cannot be approved at this time as Indicated on Item NO. above.
Questions and further Information on Items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further Information on items 6
through 13 contact the Lane County Buildlnq and Sanitation D,VISion.
WII I be held In this offIce until you can resolve the problems Indicated.
Is being returned.
Your bUilding permit application fee IS being returned under separate cuver.
U\NE COUNTY PLI\NN I NG DEPARTMENT
I I~ Sixth Avcnup ~a~t, Euqenp, Oregon g7401
I' 1111 N I Ill} - I ~ I I rx I :> ')1
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE 342-1311 EXT. 411
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"LANE COUNTY' BUILDINGPERl'ftlro'R ,MC)BILE HOME
BUILDING 0;' M'H~'m~,~ I,..",",'
MAILlN?ADD~ES,S " ' ,_
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PROPERTY OWNER
S~ au~(!\" 1ilL&.t1~~
CONTRACTOR
PROPERTY LOCATION - INCLUDE POST OFFICE
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'.\ PROPERTY ,LEGAL DESC~IPTION - M,ETES, BOUNDS
'1&.:r;ENJ? A)nO~t-a~j~t~"~f):3t Y lore lOY(; G~~tt ~
TWP RANGE SECTION
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TAX'IL6T NO,
CEN9US TRACT
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, EXISTING STRUCTURES' ON PROPERTY
CODE
MPl.
NAME
Tt:lM,mene SVU,lrO
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· ,LEGAL ACC:ESS TO' PROPERTY
1~A'.\lfj .t!?!'8",
PROPERTY SIZE -.FT.
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'MAILING,
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ADDRESS ~Pti~fJor;~:lia,d)p (tl~JR(l0~', ,,',
FOR MOBILE HOME ,PERMITS ONLY
. No. of B~droo,~s" tt!) ,';
STRUCTURES TO BE BUILT THIS PERMIT
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WIDTH
DEPTH
'AREA '
Co\'nect to Existing Sewage" System 0 New 'System
TYPE CONSTRUCTION SQ, FT, ,#...,I?~,RMS' VALUATION
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SEWAGE DISPOSAL)'
PUBLIC. D '
BUILDING
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,WASTE DISPOSAL
PLUMBIl':!G
PLAN REVIEW
, PARK TRAILER
, SEPTIC TANK
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D OTHERD,
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PLUMBING INSTALLED BY
OWNER D' OTHER: NAME
WATER SUPPLY
PUBLIC
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COUNTY BUILDING & SANITATI,bN, SPECIFICATIONS
DRAIN fiElD REQUIRED
UN. fT tj;!)1 TRENCH W;DTH H, .3
OR SQ, fT,
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MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX: GAl. .. S1UO
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TYPE Of STRUCTURE
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OCCUPANCY
DO
Dt~l\.l\m;) ~,~V
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PUBLIC UTll. EASEMENT
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fT, fROM CTR: Of ROAD RIGHT Of WAY
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-SIDE INT\ " SIDE EXT,
AUTHORIZED SIGNATURE'- DATE '
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USE CLASSifiCATION
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BLDG, PERMIT - WHITE
OFfiCE COpy - WHITE
COUNTY TAX - PINK ,"
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - Go.LD,ENROD
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G.,.~ii, ~tl'\I'!i SMH'?A~t A\l:.\, '("1,', ~t1i;f.11f,' ,~; '~~
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Construction t~;':;'comply with uniform building code a~~""COl'J;'tx'!.,~;:~~~W~K/;:t
covering -plumbing and. sewag~ .disposql. All building~,,;,{~~ui,r~, /~~,ate ;,::
of occupancy before being occupied. , '" ,<:;~..;><t. ,'\/',-"
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(See'Stat.e'ment on Reverse Side),
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(POST THIS' PERMIT (i)N MAIN BLDG. AT 'SITE)
LANE COUNTY, BLDG, & SAN. DIV,! COURT HOUSE, EUGENE, 'ORE~ON 97401
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ApPROVED /
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DATE
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SLAB FLOOR
PLUMBING GROUNDWORK
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INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
ApPROVED /
/ DISAPPROVED /
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INSPECTOR
REMARKS
ApPROVED /
/ DISAPPROVED /
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INSPECTOR
ROUGH PLUMBING
REMARKS
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ROUGH GAS PIPING
ApPROVED /
/ DISAPPROVED /
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INSPECTOR
REMARKS
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FINAL PLUMBING \
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ApPROVED / / DISAPPROVED / / DATIE INSPECTOR
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REMARKS
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FINAL GAS PIPING I
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ApPROVED / / DISAPPROVED / / DAT~ INSPECTOR
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CERTIFICATE OF OCCUPANCY I
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READY TO ISSUE / / NOT READY TO ISSUE! / / DATE INSPECTOR
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REMARKS
/J; rt~
r/ller'S
No .l:i v~ng Uni ts
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Septic Tank:
Ft. from well Steel LJ
InS~de D.unens~ons: t't.
Length ?t W~dth .5
Appl1cant
Name TALMADGE STILES
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~DIVIDUAL SE~AGE DISPOSAL SYST~ RECORD
_/ ~ Installer: Complete top part of form to
7 Y b - 0'1 J () s~gnature and \ return both cop~es to Lane
~ Al l. 1 r County BU~ld~~.9 San~tatwn Depar~~t.~ @ ~ ~ ~n.~ ,"!U
~ (JJt:fAt{( ti~: ' - J Pr RM I T tiJo. if .s : 1~1il
Name Property Address '\' \ GRAy
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Basement IWater Supply
Yes 0 No 0 :Publ1c ~Other-L~st
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364-73
Bedrooms Baths
D~ameter
No. Compartments
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LAN2 C:U~-:-v p.mLHl DEPT,
I Gal. Capac~ty jdOO
. T~le D~sposal F~eld:
D~str~but~on Box:Yes ~ No 0
Other D~str~but~on- Type
Concrete m-
C;PR1W~.I.1 ["l. (lRffio"
Leng~ of L~nes - Ft.~o'.( If~" Trench
1. CV 3. 4. 5. 6. W~dth '
Sketch (See ~nstruct~ons):
Feet from
Well Foundat~on
Lot L~ne
'Front V S~de Rear
Total sq. Ft.between F~ller I. F,1.ller-deoth F~lierd.epth
f /{t:'6 1 C'/ I ~ above below .
t. tJ I ~nes -a ,Type j. , tlle ~ ~n. ' b,le (1 lQ.....
M a~l~ng I R?h!:i THIJR~TON ROAD
Address
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I / /- ,
Conforms to :curreA1( Standards Date:
to Current Standards .:r~13c1 M~ ~~
7-A-7J
rb
.I- '
0/j J A 1.AV4/"
Sanltar~an's s~g2J1ure
For S~ar~an Use Only:
~pproved: System Installat~on
00 D~sapproved: Does Not Conform
Remarks:
I
Lane County Bu~ld~ng &: San~tat~on Dept.
C55-"
LANE COUNTY _JILDING PERMIT 0 R MOBILE HOfv._ \JSE APPLICATION
PERMIT TYPE - BUILDING 0 MOBILE HOME Mosc REG # PERMIT # LJJ/I.3d;4-7.$
PROPERTj OWNER MAILING ADDRESS r j, // PHONE'
.-0~#~~} d ~___ _./--- j7;;2/0~~//)~./)~\ ~..J4~?~-50.::6
CONTRACTOR"./ ----&;rIL~G ADDRESS :./,/ 'Y (/ / PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
~ \. L_tl-~J 'ZU~
PROPERTY LEGAL DESCRIPTION,...':;t ~./ ~ /, // ~/-&t/7 /,. ./ : -e:J. ~ -L /
LOT - BLOCK - SUBDIV 7/~ A'.L./7 .r-~, ,-?L- ~ ~ ~ e;
TWP RANGE' S'EC - "fAX LOT # CODE'
Iff
CJ3
0;<
lI.!? ~ /2 ~ METES & BOUNDS 0 YES
~,V? ATTACHED 0 NO
CENSUS TRACT
'- -r..1) - #tJO
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
'-.?2v/t-R~
LEGAL ACCESS TJPERTY - ROAD NAME OR #
~~~%H
~
AREA
APPLICANT
NAME
AND
O~
MAILING ~
ADDRESS ." " I ~
FOR MOBILE OME PERMIT ONLY ':I
Number of Bedrooms .;:2....
STRUCTURES TO BE BUILT THIS PERMIT
Connect to EXisting Sewage System 0
TYPE CONSTRUCTION SQ FT
or New System Req)((
# 8'EDROOMS VALUATIOtc'l ..
/
/
/
PLAN REVIEW
PARK TRLR
PLUMBING INSTALLED BY ~
OWNER 0 OTHER 0 NAME
PLANS FURNISHED FACILlT. PERMIT
Y~~,,,~"{.. NO 0 YES NO ~
VA~:U::~:LI~~ Co _ ;/~?~
(~ FEE RE~~~ / DATE
~ Lb~ __ 6-//-;?d.
- PERMIT # I
Olhl-.$~ -7-2
COUNTY BUILDING & SANITATION SPECIFICATIONS I
DRAIN FIELD REQUIRED /
9' () 0 LlN FT /g() TRENCH WIDTH FT 3 OR Sr/UARE FEET !J;1o
4-fl ~ ~C1~ ~t/II-?nd&~A~~ d~/ LJ /!)// L~/'
~Z: ~2-/ -J 7:~",jJp~-{~ 4//1- :z./cr-/- ~!AAL,~j tI
( I ~./ '!"" - / ~.tf' tI
TYPE OF STRUCTURE .11 H OCCUPA1CY ZONE REAR YARD PUBLIC UTIL EASEMENT
PUBLIC 0
SEPTIC TANK 0
SEWAGE DISPOSAL
BLOG
WASTE DIS
PLUMBING
$
FEES
OTHER 0
WATER SUPPLY
PUBLIC ~
PLUMBIN'G FEES
OTH ER
~ /t'J tJ
A,~r7
FIXTURES
"'- ;;g CJ uJ cJ
CASH V. SEWER
CHECKIcl CONNECTION FEE
TOTAL
.;C) .E , 11 /J
PUBLIC WATER
CONNECTION FEE
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
BLOG SETBACKS - FT FROM CTR OF ROAD RIGHT 19~ Vj A_Y_ 4t)"'"
c:..vl...C2:.-~ ""'~ I
FRONT 4~ SIDE INT S- SIDE EXT
;:!)/;)~~ 7-;;~
D~ectlons .to VFlnf Property ..
USE CLASSIFICATION
REAR ~
Date BLOG INSP II ~ ~ J /J ~?_ ,,';'''
(-"9-1 "l"=7"'i#.'..,,, R-/.>,,-..-y ~ (!IL Ij .,V
{J . I
Date
COpy I - OFFICE
COPY 2 - JOURNAL
COpy 3 - AUDIT
Form :if: C55' 1 Z