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J JOB LOCATION
Out 19th to Rambling Drive
LANE COUNTY PERMIT
+744 Lawn~id~e Avenue
",pringfie1d P&'ii~IT #
Io/? 7- 77
TRS, T'
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7S x 140
Right. 00 UElcl>ar1y aap Corner of
liemberly a.nd Lawt1.dge;
Acreage or Lot Size
Contractor's O,S, #
,
Partitioning #
(
) Completed
, Subdivision
Lot
Y1llUl!,G ACilES
) Block II
--ry
5PRrd~r~~4D OREC~l 97471
Phone
Phono
Phone
(owner, etc,) when ready,
746-7823
,
APPLICANT'S NAME AND ADDR<=""
OWNER'S NAME AND ADDRES"
CONTRACTOR'S NAME AND ADDRESe:
Mail permit to ( :r Applicant' ( ) Owner
1IWlK ALVERSON 1744 LA\imlUOOe AYm.-UP.
SAME
STRUCTURES NOW ON THE PROPERTY
STORAGE WlUlmG FOR GARDIm ~lli1U' I
) Contractor, ( ) Prefer to pick up, Call
aOUSH Mm GAlIAGE AND SIlS
rllS PERMIT IS FOR
'O_6q L~; vo~ae ~o~.UtJ
P.AIt1IlOW lilATJm DIST
# BED ROOMe:
# PLUMBING CONNECTION~
WATER SUPPLY
SEWAGE DISPOSAL
IDuSTIliG
NA
S,I. #
THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF
NO
PLUMBING BY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of recor~,
contract purchaser; _ potential buyer; _ realtor or agent, I further~certify that (if not the owner) I am authorized to act for the owner 6f
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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 $ , "5-: /1'" Signat4;e..~"''''''-'.(-'' '. ;'6"""~ -.. Date
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) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT, AREA, MIN, ELEVATION:
SAN IT ATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
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~ ,{/ Type of Construction l,./ (;roup
~ ~ ~ - .,! .f ....-. -llse Classification
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Comments: (/'
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Fire Zone
.omments:
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By: Date: J. By: ,--,l //.-;_ . ," ''''':lr,'Date: /~..:7 :,/ _//
PLANNING REQUIREMENTS SATISFIED, By:"', .' Date: " \ Date Issued: ,4-;71' 77
ZONE:", -?;',_ SETBACKS:~RONT \..J.k,.; SIDE FACING STREET (FROM'C/L) INT, ~IDE YARD _:.,jR~R (FROM PIL)
L.-?-NE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394
,
POST THIS PERMIT ON MAIN BUILDING AT SITE
" ,C55-13
BLDG. PERMIT....,. WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD, OFFICE COPY - WHITE
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INFORMATION SHEET "" / ' ..fc7'a: .' ~
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TRS, TI ! 7--- 0 3- ~s -':2, I 0rOO Job Location
Written Directions ~ / 'Z z:<-;
ABUilding Permit ) Site Feasibility Study for Septic Tank, Number of sites
Acreage or Lot Size 7 6./X-- r C{ 0 Test ho~ will be ready
Partitioning # ( ) Completed Subdivision.f',-2Ld il":"". r:; n ~
p, /
( ) Pending,/ j J J-.
APPLICANT'S NAME AND ADDRESS J- R..=i. N ),! /-t /""I.)e >e ~o JJ
OWN E R'S NAME AND ADD R ESS, if different from afPlicant's ./ 7' v,l'-/ /-.. =--u,,, Ji?' -f'q 0
CONTRACTOR'S NAME AND ADDRESS ' .'- A ,
'il permit or results of site feasibility study to (P<l,Applicant f ) Owner, ( ) Contractor.
, ) Prefer to pick up, Call (owner, etc,) when ready,
STRUCTURES NOWONTHE PROPERTY )~".uI- Q ....!i/u~--L- J! P,p,-'I,-rnm"
PROPOSED USE (thispermit)~~/~-"'-----"'- LZ~~~iL '--;--- ,'.~ /~~AC"::./
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WA TER SUPPLY /~ ~~ ,,' (existing or proposed well, etc: If public, name of system)
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Wo/> /7 -0 :i-')c)"'-?-
~ / II
Lot"'~..::') Blocl'
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Phone /> $If-. - / v:l-s
;7f' 1_~Phono
_ Phone
Contractors O. s. # ~IO_ ~
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SEWAGE DISPOSAl -G....., ~
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(existing or proposed septic tank, etc,) S.1. #
PLUMBING BY
Address
) PROPERTY IS WITHIN ONE MILE OF CITY I
* * * ** ** **** ***"* * ***"** *** * *** ** ***** ** *** * * * OFF ICE USE ONLY BE LOW TH IS LfT\J E ***:11-:11-"*:11- **.;. * * * ** * *** *-li" ** ** * *"** **"* *" *.. * -1(- **
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( ~essary ( ) Facility Permit Necessary ) Special Permit Area, Minimum Elevation:
JNF /, SETBACKS: Front Side Facing Street Interior Side Yard Rear c:j;f(~,
(FROM CENTERLINE OF ROAD) (FROM PROPERTY L1NESl
To: Planni ng/B ui Iding Inspector ISan itarianlSurveyor.
This applicant appears to have a problem with
Your assistance will be appreciated,
By
, Permit Processing Section
Responso'
C55-12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th A venue
687-4394
f")ivision
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JOB LOCATION
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Out 19th to Rambling
LANE COUNTY PERMIT!.:
I
1744 Lawnridre Avenue
Springfield P~l.R~I)'IIT #
10/&,7-77
17-03-25.2.1
TL68ee
TRS, TI
Drive
Right on Wemberly'Wa~ Corner of
Wemberly and Lawntidge;
75 x 140
';
Subdivision
Lot
RAMBLING ACRES
r
Acreage or Lot Si7~
Contractor's O,S, #
Partitioning #
)Complet~d
BiaGi--
APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AND ADDRI=C:C:
CONTRACTOR'S NAME AND ADDRESC:
Mail permit to ( 1-Applicant ( ) Owner
FRllNK ALVERSOi'l
1744 LAWNRIDGE AYENUE
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SPRINGFIELD OREGON 97477
Phonp
Phonp
Phonp
(owner, etc,) ;Jvhen ready,
746-7823
SAME .,
) Contractor, ( ) Prefer to pick up, Calli
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# BEDROOMS_# PLUMBING CONNECTIONL-
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SEWAGE DISPOSAl
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THISPROPERTYISWITHINONEMILEOFTHECITYOF NO tI ,PLUMBINGBY NA"
I hereby certify that the above statements are true and accurate, and that I have the ~dlloting legal interest in the prope'r.ty: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further...cer.!J,f.y~t~at (if not the owner) I am authorized to act for the owner of
record, and that said own~ is aware and approves of this acti~~, I hereby agree t~ C~mPIY:yYitQIJlr aRplicaiJ'le Codes relating to this permit. ~
Fee Paid $ S /c1, Signat~~Jii~L,." - -, . Datp
)NEWADDRESS ) FACILITY PERMITTO TRANSPORTATION DEPT. ,( \1 SPECIAL PMT. AREA, 'MIN,ELEVATION:
SANITATI9bL--:- BUILDING i .t." -'
~y Minimum Septic Tank Capacity (Gallons) - <:' J(/ Typ~ of 'Co'nstruction C/ Group
, Drainfield Required - Lineal Feet _ :: '" "" _A'V"""-l!Jse Classification
I Maximum De~t~ , , C~;e;s~ v<).o
imments:_~ ()~~ />u<tb.-tk ~ ~'~,'
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-"'" .ex- IIY ('VJ'._ "",,' ;tetr>J 'f ,,:, '). ~ ('1!~
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h-/'s';7 r--"By: Q g~ !'Z..q_9~ate: b- Z'/-t/
PLANNIN,G.REPLJ.I R EMJ~NTS SATISFIED, Bv:\. '- "\rv", -" ,":;'''r__L ' Date: \..n \. \ \:)." \ \ \ '\ Date Issued: 6- :28- 77
ZONE:~-;::l-A. SETBACKS: FRONT \...~~'-SIDE ,FACING STREET (FROM elL) IN'T. SIDE YARD__-:::-REAR (FROM PILI
STRUCTURES NOW ON THE PROPERTY
STORAGE BUILDING FOR GARDEN
HOUSE AND GARAGE AND SDS
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11S PERMIT IS FOR
~b sq rt: vaLue lb~.UU
RAINBOW WATER nIST
EXISTING
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WATER SUPPLY
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Fire Zone
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By:
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, " LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
. \ POST THIS PERMIT ON MAIN BUILDING AT SITE l
~ C55-13 BLDG, PERMIT - WHITE, BUILDING - GREEN, PLUMBING - CANARY, SANITATION - GOLDENR'OD, OFFICE COPY - WHITE
PHONE: 687-4394
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SITE INSPECTION /
A.pPROVEO ...,0/ ~ISAPPROVED 0 DATE
REMA~KS
FOUNDATION INSP~N/
ApPROVED / /1 01 SAPPROVED 1
REMARKS
F~AMING INSPECTION
ApPROVED, 1 M/ D'ISAPPRDVED /7
REMARKS ftt)
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LATH OR SHEETROCK INSPECTION
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1 DATE J.:::J~ -1g ~NSPECTDR~~
DATE 4-:",
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REMARKS
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FINAL INSPECTI~~
ApPROVED, d OlSAPPROVED Cl
REMARK s.
CERTIFICATE OF OCCUPANCY
DATE 2;/ ~ - 7(/
READY TO ISSUE / / NOT READY TO ISSUE /7 DATE
REMARK S
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