HomeMy WebLinkAboutPermit Building 1974-7-18
~
.-.
,--
/ ~ LANE COU. BUILDING PERMIT 'OR MOBILE H.E USE APPLICATION
, PERMIT TYPE - BUILDING C-, MOBILE HOME ~REG, # PERMIT #
PROPERTY OWNEii--.--'--.---~G ADDRESS ,--.-------'-.-'-----------..-
~~-&~__e.__._,___ __._.________
CONTRACTOR MAILING ADDRESS
11]Jj S~ ~- 7y
PHONE '
PROPERTY LOCATION -INCLUDE POST OffiCE
PHONE
7L17-::289,J
PROPERTY LEGAL DESCRIPTION .-, I' I O'rr:,,- <::.. D() V'"I-_
lOT - BLOCK - SUBDIV. n r- "" 1 l ,\""", V\. I _
% R;E ?S;'" 'TAX LOT # /J~ /9(P CENSUS TRA:T
APPLICANT .m-J . . . S / J OEStRIBE EXfST1NG'STRUCTURES ON PROPERTY IF ANY
NAME'/1"'{:2:t::t' rt'C L: U/ t2l-h ~,t.- /))I111.P-_
"n M LEGAL ACCESS TO PROPERTY-ROAD NAME OR #
M:'~~G !2. 0 :/l~" c~./~J C/ PROPERTY !f-~JfJtllJfJ ~1p::
,ADDRESS qt?R n"'{{elr:l-r-6I:~.Ecq~t17 97'/77 / '9l),:,X. q,C)'
\FOR. MOBILr~ME PERMIT ONLY " /
Nuni~~r of Bedrooms A Connect to Extsting Sewage System 0
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. fT.
/
I-I-!l /IV) 8- /
/
sr-I-t A1)9
U'S~
METES & BOUNDS' '0 YES
ATTACHED 0 NO
AREA
or New System Req. _,
# BEDROOMS VALUATION
M
P/+!2 Ie-
WI r1 'f'1 t- t=::
I
,
,
SEWAGE DISPOSAL
PUBLIC 0
BLDG.
WASTE DIS.'
PLUMBING
,-
S~PTIC TANK [)('
/
<"'\"V. 0 0
q.oi;
,/
OTHER ~"I
FEES WATER SUPPLY .
PUBLIC 'n, OTHER
PLUMBING FEES
PLUMBING INSTALLED BY
OWNER 0' OTHER D NA/.\.E._u
PLANS FURNISHED
FACILITY PEIIMIT
TOTAL
PUBLIC WATER
CONNECTION FEE .
, YES I;;r NO 0
SltthTURE OF ,A~PLIfANT
K)b, 'J7/~.t~ //{/~
. ('.' FEE RECEIVED BY .
2.00' O~
PERMIT #
YESn
NcVf
/' - DATE
7-/0- 7t(
DATE '
7~J/"-7'f
PLAN REVIEW
PARK TRlR.
~", 6>0
JQ.~ 1')4
$'1. tPt/
__ FIXTURES
CASH 0 SEWER
CHECK n CONNECTION FEE
/%
~.oo
COUNTY BUILDING & SANITATION .SPECIFICATlONS
,-
MIN. SEPTIC TANK CAPACITY. DRAIN FIELD REQUIRED
WITH DIST, BOX, GAl. CfD'D ' lIN, FT. /.~ TRENCH WIDTH FT, 2- OR SQUARE FEET
-&' ,~el'lJ((e_"Cnnnpr_;:/t'i>'_~__J.1> h", cvn~.Je. r...""J~ (
Sc<. 4tf-ac-hJ <l ",A
26()
""cJi:-t'"
Sl/~-k__
v
~
I-S
~f)~V'\..Ji~", (
Cr;JprAvai.
TYPE OF STRUCTURE
, 11 1".
BLDG. SETBACKS.- FT. FROM ~ ROAD RIGHT OF WAY
OCCUPANCY
{
ZONE
REAR YARD
PUBLIC UTll. EASEMENT
FRONT 2-:.n SIDE INT. -S- l1vF; ..In.
~:::~": ?::.~7~14A"~
i
f>-A - f.-1 I.J
,
REAR 7 !>()E u "
7- /t- 7J INSP, tpf3 ~ fJ:(' "t... 2 '3' '!Ii Dal.
I q --, ,
USE CLASSIFICATION
COPY ~l - OFFICE
COpy 2 - JOURNAL
COPY 3 - AUDIT
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