HomeMy WebLinkAboutPermit Notice 1978-12-7
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JOb'Addressr ,...-~ ~ )r-. City
To""ship, Ran~ Section, Tax Lot _\p-. -(, --, , '" 9 . .."
Subdivision :--,.,.--\ _ - ~ -l.- '-- J-e ' '" U""Y\. '"ffi Block
Appl1cat1on for' s:.2..~ ,')..---..-...,:::; ~--E'c-~' ~
Structures now on the property l ~ v'""\. cI. ~. ~ ('.,. rY\. c;...-\--
Iproposed ltSe of~ty CI R%ldenual CI i:on1nercial () Industrial CI Public
Aff,davlt I, <.L JtD1.lA n~..c--r , hereby certlfy that thlS lnformatlon 1S true and accurate
'"-- (Please print)
If thlS appllcatlon 1S for an agrlcultural bUl1dlng It wl11 be used for purposes allowed by the State BU11dlng Code and
lane County Code Chapter 10 (zon1ng) and for no other purpose I have the fo'lowlng legal lnterest 1" the property
owner of record. contract purchaser. lessee. holder of an excluSlve optlon to purchase.
duly authorlzed to act for the owner, who 1S knowledgeable ot thlS ap~llcatlon
SlgnaturejAddress
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DEPARTrIENT OF ENVIRONI~ENTAL I1ANAGEMEN,
PSB. 125 EA5T 8TH AVENUE
EUGENE. OREGON 97401
~eipt ~
Telephone
When perm1t lS ready not,fy I~I A~pl'cant
Owner.-
Dr
Date
CI Owner CI Contractor ~ CI ma,l
(ZlP)
( .'~ ", ~ v '\ '\.,) ,-\I..L\~
Plumb,ng by -
CI phone
Phone
Phone
Contractor 'rn
Contractor's OSR#
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f\.
If Commerclal
ReSldentlal
I of stories
I of bedrooms
51 test holes ready
DO NOT WRITE BelUW THIS LINe
# of employees I of units
SOS: I~I Ex,st,ng, BP #
I~I Proposed, SI #
fill
~
Unit
~
Valuatlon
Sq Ft or
# of Sites
Descriotlon
~ ')
~--e
<0
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"l..~O' . "......'\
Total Valuat10n $
Plumbing fixtures at $
Sewer/water conn. at $
Subtota 1
JJ r-V
G
o Cash
o Check ,
RecelVed by
WATER SUPPLY;
pr,OPOS:::D EXISTI NG
4% State surcharge
Plans check fee
Change of Occupancy
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TOTAL
PERMIT PROCESSING Zone __ Part # Parcel # Parcel SlZe
Mlnlmum setbacks ll. front ll. slde . lnt rear
Conunents
To be typed on permlt
By Date
CP&1 Type Group Flre Zone Use ClasSlflcatlon
To be typed on permlt
By
Date
Phone
For plans lnformatlon call (area lnspectol")
Dlrect,ons to slte
Plans to CP&I set(s)
WPC == set(s)
Date
Requl red
Hold 5l1P
to PCC
Date
Completed
o SIFO
/~I CP&1
CI WPC
CI Plannlng
Cf Publ,c Works
~I ElevatlDn CI n/a
CI Address
CI Fac,l1ty Perm1t
CI Env,ronmental Health
C74-171
IlppllcetlOll I'
Assigned !Illmbers
~\,,~~ \'6
(Z,p)
Fee
each
each
$
$
$
$
$
$
$
$
$
$ ( "\
$ \00
$( (' 1'-
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PCC
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CORRECTION
NOTICE
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LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
Construchon Permits & Inspections DIvIsion
EUGENE, OREGON
This budding or structure does not conform to lane County bUilding regulations, ordinances or codes
as noted below /
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~ C55-73 RE.INSPECTION REQUIRED Inspector_ ~,I~.A..o.,.J'~ Date Iz- /-78
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CORRECTI.ON
NOTICE
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections DIvIsion
EUGENE, OREGON
/
This buddmg or structure does not conform to Lane County budding regulations, ordinances or codes
as noted, below /
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C55 -7 3 RE.INSPECTION REQUIRED
FOR APPROVAL
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Building Permit #
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COR~~~DD@~
~@lJ~CE
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections DIvIsion
EUGENE, OREGON
This budding or structure does not conform to Lane County budding regulations, ordinances or codes
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BUilding Permit # -r-r....../
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C55-73 RE-INSPECTION REQUIRED
FOR APPROV ~
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CORRECTION
NOTICE
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections DIvIsion
EUGENE, OREGON
This bulldmg or structure does not conform to Lane County buddmg regulations, ordmances or codes
as noted below
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BUilding P~,t # ) A k......r'...('_
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CSS-73
RE-INSPECTION REQUIRED
FOR APPROVAL
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Permit No
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407-"79
CURB CUT
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PERM~T
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
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WHEREAS, the attached application has been fully considered by the Board of County Com-
missioners of Lane County, and it is the opinion and judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
ORDERED, that a permit be and is hereby issued to -1) '"L, V'.:e.,-nn;) II tL~'"":.. + -
"1"11.(.'1'11 -a-,J {l;Qu i34A ('lfnrU..JCl+,a...r-lJJ. L':)I.JFD. for placing, building
, ,
or constructi,:,g the following facility:
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LDr 10. PltfYK 2. Dr j\:)Qlln-\., \JF.K',,-lolJ r~-I(,lt.o:;V (107 \ ..DI-f:::
Wcu..<I:").' " I C" -
upon theJright,of,way of County Road No. /. , Mile Post
in strict conformity to the ~xhibits attached hereto, and SJ.l$j~t to all terms, conditions, agreements,
stipulations and provisions contained in the application an'c!-'pe.rmit, the Rules and Regulations Gov-
erning Facilities to be Permitted upon County Road Rights:ef~aY;- as set forth by the Lane Man,
ual 50.190(2) any amendments thereto, and any, oth~'r..-applicable regulations, law or ordinance.
I _ ,1 ,V p_A -::""
Special Provisions: 17 r ,t,,4~ ;""f~'. ;
/ (f . u'" L=r.,~ '. -Jt,;<.f/ .r."'~ 9 . e.. 0 K .", ";",,--77).--' ,r' ..
~_1.4 ..r"'~~J"=-'A.-/...-;~~<!'.u;'{l.~-d::"';fL" ~'" . .I'~:':''C!.?:(I'.:.,'''''''I!;1f.. .... '~'y..:~....." ....,.....:'>o~.:~ ""7 ~~' r}).-;'.. l".....~,i' t--
, 1. '.....Driveway will, l:ie Ip2D,~truCt!:1I in <}cg:>rddnce witi:l/the attached drivewayo....C!ppr~ch specifica' ' ';::.
tions (Drawihg.-<M9S'50).;!.,' <-/1';.. / "... '._ ,(" ,..'.. 'I , ",""", ..../ ',' . i '.' .~.::-.." ,.
('I!-'/'rf.''i..<;q./, -.(....- _.. I . ,_. . . ' '.....--.. r :'
2. ip;~{;tifiee will b~' responsible for the immediate reJJ10val of all mud; dirt and Clebris from tf1e
?j': ro.adwcWand right of way caysed by his o.pen"tion, leaving' the roadway and area-;in a neat,
acceptable condition. ',. '>1- ,~.""" '~
Sidewalks will be construct~d in accQ~da~ce~wlth the attached sidewalk .~~
specifi cat ions and drawi ng M9S:'il9. ];he"Standard Curb Type sha 11 be ,. '.4-
cons tructed unless otherwi se sp'ec,ifi ed,
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. This permit is:.r.evocable at any time, and will be strictly adhered to and no work other than
that specifically.mentioned above is hereby authorized.
This pe(J:nit shs'II' be void unle,ss;th.:.,-work herein contemplated shall have been completed be-
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fore '.r), mr"h. l.c,lf" ,G{97n.- ,"Expires 7'- , 1.9_.
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,Inspected a.nd' Approved Approved by B~ard of c~t;;;'ty' Commi;si6ii~rs '1<. ,
'- ' By ~
;t'.:~~,r" .., ",' ':. y~'ll_~ J~ ~I iAJ
.' ,.' ,- ...- ..... i5i~ector:'of -P,Lbiic Works
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PINK - PERMITTEE' ",' ._..1..~ ~ f /", "
. ORANGE-BUILDING & SANITATION DEPT:: C74~129 ...'.;.
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Date
By
WHITE - OFFICE FILE
YELLOW - REAL ESTATE .
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SITE INSPECTION ~
ApPROVED G DISAPPROVED CJ DATE ,J/J- /1- if! INSPECTOR~
REMARK 5
FOUNDATION INSP~
ApPROVED I "1 DISAPPROVED
L-I DATE ~/(-7g;NSPECTO~~
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REMARKS ~ ~-/....,
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FRAMING INSPECTION
ApPROVED /~1~;::PPROVED
fI DATE //~ 2-7-?,f'iNSPECTOR Ow~
REMARKS~/' /"
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Sr.' {~~L_____- _ ~.......;r d~_,_
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LATH OR SHEETROCK INSPECTION
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ApPROVED ~I DISAPPROVED /
REMARKS,"A ;j.JY..A',AC/;jI -
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DATE_/;7 -7-7JINSPECTOR ()..(A rZ
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FINAL INSPECTION
ApPROVED LiZ! DISAPPROVED / / DATE ~- 2.';-7qINSPECTOR~
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE I / DATE
INSPECTOR
REMARKS
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LANE COUNTY PERMIT f
Acreage or Lot SI70 /0) 000 III Partitioning # A/ A- ( ) Completed SubdivIsion ~"1 '@ t. U-?,~.A'" _J /i ~.,t-
Contractor's 0 S # Lot / U Block ~ <' j J
APPLICANT'S NA~E AND ADDRESC: 7JLi;. U...iA/-7. qrz.,,~a -r:rI/1'U-I1I&. /3q6t:t"CZ1U)n~1ho~:-7V6- 3072-
OWNER'S NAME AND ADDRI=C:C: I' Phonp
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CONTRACTOR'S NAME AND ADDRI=C:C: Phono
Mail permit to ([....)""Appllcant ( ) Owner ) Contract'or ) Prefer to pick up Call. (owner, etc ) when ready
STRUCTURES NOW ON THE PROPERTY C n
THIS PERMIT IS FOR.5F L) /SlJ3~ '1A..A.- 5-6 Jl~ J/listattSlJ5 # BEDROOMS5
WATERSUPPLyuJ~iYU[t- te)'1f!t/)) eo ' SEWAGE DISPOSAL
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JOB LOCATION
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# PLUMBING CONNECTION~ 0
SI #74- yc2.
THIS PROPERTY IS WITHIN ONE MILE OF-THE CITY OF
PLUMBING BY
I hereby certify that the above statements are true and accurate, and that I have the following legal Interest In the oroperty _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 th,s action I hereby agree to comply With all applicable Codes relating to this permit . [
Fee P(,H;J..(;;CJ, L/S ( ~~ /!l9.J Signature '--,.dUti-~:it .;1"'/-? -::?.".A-r/ Dato ~ -) 7- /,5
(\J; NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT/./ ('?i'sPECIAL PMT AREA MIN ELEVATION
SANITATION
/OOV Minimum Septic Tank Capacity (Gallons)
/So Dralnfleld ReqUired Lineal Feet
3 6 I~ MaXimum Depth , ~ .' r J ~ r ./ ,/
I Ie '1"...,.10<1/'- 0""'<7" Go" , tl"
Comments r..., f..., ~ c f
(lei {'/)t f/~"" S/)1 /OoJ .('-.;<.t r~o--'" 0-11 w......ll~
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or +..Lf.......,c. (~r'(H~-T4>t+ U("'t...J.!,
BUILDING L:',hZ: Wi.jt~lif $pE(UU iPERMI7 ..-~.
5N Type of Construction , !':roup _10 i Frk.z::one
JJ<J(J...t..JN(.., "se ClaSSlflcatlor
"" Comments ;qNf::II~) f'J.L-o;::. VLt/ 70 e& AT t.L/1f,.>T ';!/i5("./J!!..
UA~~ cAP IN LU(':'E. AT IN7Q::.~.t:~ ''-eN I
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By/ jJ~ -Jc.~ 11.P Date (\ "Z./zfr/n' BY.L~ ~
PLANNING,REQUIREMENTSSATISFIED By ~I'U--c Datey-c::?"7-7K Datelssued:;$-J'5-Il.:\
ZONE ,e.. rr SETBACKS FRONT(d.;' ~~IQI;..EACING STREET - (FROM CIL) INT SIDE YARQS' REAR 7' (FROM P/L~
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LANE COUNTY DEPARTMENT OF ENVIRONMEN]AL MANAGEMENT, 125 EAST 8TH AVE EUGENE, OREGON 97401 PHONE 687-4394
_Date -t-/S-7'ir;'
C5S 13
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POST THIS PERMIT ON MAIN BUILDING AT SITE
SLOG PERMIT -WHITE BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
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LANE COUNTY PERMIT d."'" .
Acreage or Lot Si7; 10 J ooe IJ!' Partitioning,# /f./ ff_(. ) Completed SUbdivision~--1 1./): t: I)../.A/.,;: /1' . Z ..f- ,
Contractor's O.S. # Lot I (j Bloc~.:.L-'.'.f d' :
APPLICANT'S NAME AND ADDRESc:""nLt: r)~,/i/! t ;-'~~~A.U'J;;lkJ;'ll &. /3(,1(:t,1t1,}:::,,'/f It.;fO'-;'P;lO'~:::;~~- 3(i72-',
OWNER'S NAME AND ADDRFC:C: I' Phonfj.
CONTRACTOR'S NAME AND ADDRESS II Phono
Mail permit to (t,..)"Ii.;pplicant ( ) Owner ) Contractor. ( , ) Prefer to pick up. Call (owner, etc.) when ready.'
)STRUCTURES NOW ON THE PROPERTY-f'...-:> j /) --" ~
THIS PERMIT IS FOR5 F L) ISt;3~ <1A:A-- 5~Y.c, ~"..!//,j" filtS/J\.: # BEDROOMc:5
WATER SUPPLyILJ.tdOn"lr'i',l(, , tdr;-t..4) eo ' SEWAGE DISPOSAL
I hereby certify 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. 1 hereby agree to comply with all appllc,able Codes rela.ting to this permit.
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Fee P~id '!"'" V-:1 ,. '-f cJ -..d J a I" Signature -, _.:/1..1,..".....;;Y~., ./ '-1'..r't! Datp J -./' /- <
(t/) NEW ADDRESS ( ) FA'ciLlTY PERMIT TO T.RANSPORTATION DEPT,/~ (.?)'sRECIAL PMT. AREA. MIN. ELEVATION:
ByJ)""".ui r:.~j~
PLANNING,REQUIREMENTS SATISFIED. By: '-..../.(Z.../?,L:t';' Datet-<J-.,77-'7,~'" Date Issued:,;;$-/'5-'/(S
ZONE:-1c.,~ SETBACKS: FRONTU'-Th?JPI;.F.ACINGSTREET- (FROMC/L) IN'!".SIDEYARD<5' REAR 7' (FROMP/L)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE OREGON 97401 PHONE: 687-4394
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POST.THIS PERrYlI,. ON MAIN BUILDING AT SITE
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JOB LOCATION
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Tf:JIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF
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SANITATION
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth I .. l,j., '.~ (',",/.( "'
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Comments: -1-".-,11",", ..... I
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Date: ,---.., <./.. 'i"/7iC
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BUILDING ·
SlY Type of Construction I r:roup "3 Fire Zone
J}.,)(:..I:..L.JNr'.., I lse Classificatiop
Comments: FIN/511!:u ;;/..ld t..d:.v'. 7{,.." eE AT U:f\;~r 4;;;'("'-;;;:"
ti:.lt~~ c.A? 11'#0,1 t:.t.:i:"'/i:, AT jAf,iL.:r::..:.f.{..-:'T/cN
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BLDG. PE~!V1JT :""'WHITE; BLlIUSING -- GREEN; PLU~BI,NG '-'CAN~RY; SANITATION - GOLDENROD;' OFFICE COPY - WHITE'
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-&t:"/tIl FLOOR
PLUMBING GROUNDWORK
ApPROVEO lZ1 DISAPPROVED C1 DATE J CJ-I.J '71" INSPECTOR
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REMARK 5
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED C1 DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVED I VI DISAPPROVED C1 DATE_J /- '-?F' INSPECTOR rP A-
REMARKS
ROUGH GAS PIPING
ApPROVED C1 DISAPPROVED C1 DATE
INSPECTOR
REMARK 5
FINAL PLUMBING
ApPROVED [2T DISAPPROVED C1 DATE_ L/-.;; (..111 NSPECTOR
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REMARKS
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED r7 DATE
INSPECTOR
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE r7 DATE
INSPECTOR
REMARKS
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FOR SANITARIAN'S USE ONLY
COMMENTS
J:fJ'..!jV;;;~ DISapproved D Needs Correction
Date IlII6
Signature .d ~
FOR INSTALLER'S USE Trench Depth ~D 1/ Filler Depth Be.ww Tile?' 10 "
Tank Capacity 1000 Manufacturer lA) l L L,f) frI E 'j'iE (:T 12 fl i/!; 1'O'Ua-
Measured distance to well from tank "1JJiSLI (. \.() yt~~nfleld
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INSTALLATION ECORD AND CERTIFICATE OF SATISFACTORY MpU T 'ON)'"
When signed by the County Sanitarian, thIS certificate IS eVidence as per 0 RS 454W5 of sat-
ISfactory completion of a subsurface sewage dISposal system at the above location
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Return thIS form to Permit ProcesSing Section, Department of EnVironmental Management,
Public Service Building, 125 East 8th Avenue, Eugene 97401
C5511
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;-' LANE COUNTY PERMIT r. ..',
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Partitioning~#'c:" . v, - ( ) Completed #..:t,Sub'c!ivisign"'-'- ""II ,.. .-'-.' .'/ " :'\0
, f 1/< . I (J Lot j (j Block.;;,)..-- ,
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(owner, etc.) when ready.
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Acreage'or Lot Si70 /' -'; (,
Contractor's O.S. #
APPLICANT'S NAME AND ADD RI=c:,,'-)Jr i ./ .., I
OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRESS
Mail permit to (I-(Applicant ( ) Owner
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# PLUMBING CONNECTIONJ.C'
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STRUCTURES NOW ON THE PROPERTY
THIS P~RMIT IS FOR~ F i..J IS 5 3~ 1::'/(,,(..
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WATER SUPPLY 1./.'.."'{.i!<J fl.... "of V !"ij '.
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SEWAGE DISPOSAl
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF PLUMBING BY ,
I hereby certify that}the above statements are true and accurate, and that I have the following 1~~! inter;st 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 $:,;:::;.( \!"/ J I 0 { ~,l I -i I Signature /'. I'f J..Ufr"'.i1. .!;~..... ~~...v~"'~~(' Datp ~ -...... ,/'- <t;,.'
(~NEW ADDRESS ( ) FACILITY PERMIT'TO TRANSPORTATION DEPT,. (J.:.n;"PECIRlPMT. ..JR'EA. MIN. ELEVATION:
Comments:
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Ma~imum Depth I ,._, I,
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BUILDING -,
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_ Type of Construction
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Group
Fire Zone
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SANIT'71ION
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By:" Date: ('\ L./';' ../ I;,,' By: .L.l:,- """"t t .,,,,,."ft-t; Date: __-I ;3,; ,r'
PLANNING.REQUIREMENTS SATISFIED. By: ''-/?! I . t Date~-U-..77- )(-\", Date Issued:,8-rS.-/r:
~NE: /(.. rt SETBACKS: FRONT{.,:t,r "7h~J~QE;,J:ACING STREiI - (FROM C/U INT. SIDE YARD":' I REAR 7' (FROM P/U
LANE COUNTY DEPARTMENT OF ENVIRO~M'E'r;JJfc1v(NAGEMENT, 125 EAST 8TH AVE" EUGENE, O.RE~ON 97401 PHot:Jl/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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