HomeMy WebLinkAboutPermit Building 1978-7-26
JOB LOCATION
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8'100-77
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TRS, TI /7-(13 -.;i ') ;#1 I ~o C;;
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Acreage or Lot Si70 #.<(",-(,,/:2 (/ j../:lV. 93 Partitioning # rv,.,-
Contractor's O,S. # I(/. >0 q.. 9
LANE COUNTY PERMIT
) Completed
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Subdivision /..... /tJd. f3/.{~Nt9- !lISTX'
Lot / '7 Block. I
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APPLICANT'S NAME AND ADDRFc;c; G I ;OS uw of- PM- tc..f.I 4--,Io.JC. /7SJ, d /JE-/C /-Iv'. .Ekc:.~nI& 'l';?Vo ~ Phone 6. ff- 9S-P?
OWNER'SNAMEANDADDRESc; c.Ll9l'<.k J-IJil.-L :s?/t"/7rAt.e.e1i/ "'-r; .5s>Ftc/. 9;;''/7'7 Phorio;;'Y'A"-77?V
CONTRACTOR'S NAME AND ADDRESc; /4 PPL I C-4-rJt Phon'e '
Mail permit to ( ) Applicant ( ) Owner ) Contractor,' ( X) P~efer to pick up. Call ~!i'?:;,- t~:"9l'o (owner, etc.) when ready':.
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, STRUCTURES NOW ON THE PROPERTY f) of:-L.-LI N {;..
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WATER SUPPLY
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ft, be,j~()6A'1 li-BEDROOMc; #PLUMBINGCONNECTIONS)/#'
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SEWAGE DISPOSAl .E)(/~I-,JJ?- S.I.# 419-
THISPERMITISFORQ....""oJ..,t l;Jf.::/(,u!t +-~-Jr!. 0;J
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THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF .s p ~ L d 1
.. PLUMBING BY
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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; --.X.... 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.
Fee Paid $ '37. S-..2 Signature /5/ Sq c !3;e l.toS 0 Date 7/.;1. (;/7lr'
1t0i.NEW ADDRESS .It.JiJ)_FA~ILlTY PERMIT TO TRANSPORTATION DEPT~' _1(*) SPECIAL PMT. AREA. MIN. ELEVATION':A-'At-
SANITATION BUILDING' "7
~ Minimum Septic Tank Capacity (Gallons) ~_-'1fi )-Type of Construction"A' -..:ij Group 3 Fire Zone
.... . t~i....v Drainfield Required 4 Lineal Feet ;4 .. A #. ~Use Classification
Y{/,' Maximum Depth' cc;;;~~~ -?
, -':~mments: I~t.- /I~-"'-' ffrr'-- /'--7~.;..:fl <1-
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By: <.... /@J~~- Date: q - 7- 7 %"
PLANNING REQUI8EMENTS SATISFIED. By: DtJAf/1/#/-Gt;- h}:;J bS Date: ?"/.2t:/?,y- Date Issued: Y/7/"J5/
~ONE: R fJ- SETBACKS: FRONT 4'5""' SIDE FACING STREET - _(FROMC/LI INT. SIDE YARD,s-' REAR ~"(FROM P/Ll
'. LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, ~:lREGON 97401 PHONE: 68
By: -K-7:
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Date: /7- /- '7 Y
-~-" C55~13
POST THIS PERMIT ON MAIN BUILDING AT SITE.
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'LANE COUNTY ~EPARTMENT OF ENVIRONMENTAl ''\NAGEMENT
125 EA~, 8TH AVENUE, EUGENE, OREGON 9hJl
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~'NG DIVIS''-ON:
~ P~rtltionln9 t
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P;"rca! 'No.
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Curre_Tlt Zoning
.Dpcnd log
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D~ompleted
Partitionino. Reauired
Othert
$
~ATER POLLUTION C~NT"OL
V Ne.... Site Inspection(e)
SDS Construction [] New
Number of Bedroomst
Commerclal/lndu5trl~1 -
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ot Employees
Other
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il: ~ST"UCTION PERHITS AND INSPECTION
~ ~~:~ above lor t of tiedrooms/I of ernp~oy~eB)
o :ol.oblle ~ome'
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FEE
$
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Permanent
Temporary
. 0 Renewal
~tructure '
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$
$
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~oto!l.l V,lu,"ltion
Plumbing fixtures at
Scwer/W~ter Conn. ^t
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Each
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Subtotal
$
$
$
$
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4' State Surcharge
Plans Check Fee
Change of Occupancy
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PER11IT FEE
$
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TOTAL BUILDING
Minimum structural oetbacks:
From 'centerline of street: Front
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Exterior Side
From interior lot lin~s: Sid~~. R('~r' ~ . .'
D COP.;1l' 1 plans sheet to. applicant -0 Curb cut to, ~prlic,j,nt
'PUHLIC U\NDS ~ddr'css- ~l~~ E'icv.'\t.ion
PUBLIC WORKS .~~nCilitY Per~it
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AVERAGE PROCESSING
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!!AFrIDA....IT: . If this permit is for ar: agricultural ~Uil~.I hereby decl'are that th{s bui!clin9
~;will be used for agricultural purposes :ls.111o....cd by zonin'q and/or the, State Building Code. and
iforno other purpose. I further cc'rtify that the statements ilnd other in,formation, submitted 90
Ilthis application are true and accurate, and that I have the follo.....ing leg.}l interest in the
!.ipro!)(!rty,: (~f recQcd, c.ontc.,ct purchase" 1",5$(>C; holder of an -exclusive option
lito purchas I . flu authorizea-to .'let for a person ....,llonag tilt! lOTIOl./inq le'~.ll inlC!rest:
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- _' ; or th"t the o...ller of record is knowlr.',hl(!,"'\bl(!' of thi9
~.apPlicat~ion, 'f) t\m not'lli7~-o.....rll~-~f. (urther d'Jrec to comply wlth .111 appllc.lblc.cocl('s relating
,:to ~ pe it.' ./ 91 .
~,Date\ ( ~~~'APPlic.:'lnt's Si'jn.1.turc ~\,\,..,qu.L ryAJ.dlJ I . -
f ,- TillS IS YOUR RECEIPT, AND, DOES "OT GIVE YOU PE""ISSION 'TO nUlLO.
~R INF~ ABOUT THE PROGRESS Of YOUR' APrLICATIO:l, CALL PERMIT COUTRO~, 687-43').7. (687-HELPI
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Contract Amount.$9987.00 ~~
Springielii., Oregon 97477
TRS, TI
17 03 22 41-00200
Job Location
35 Kathleen Ct.
Written Directions
LoT. 1.9. Block 1. F'TRS'1' ADflT'1'TnN '1'() BTTRNA VT,,'1'A
INFORMATION SHEET
(Xl Building Permit
) Site Feasibility Study for Septic Tank. Number of sites
Acreage or LotSizeM' y l?Lc' "1?Lc.93'
( ) Completed
( ) Pending
APPLICANT'S NAME MJDADDRESS Gipson & Patch, Inc. 175
OW~jER'S NAME AND ."'DDRESS, if different from applicant', Clark Hall
~qNTRACTOR'S NAME AND ADDRESS GIPSON & Patch. Inc. 17'1
il permit or results of site feasibility study to ( ) -Applicant ( ) Owner (
( X I Prefer to pick up. Call 688-9 '198 (Sue) (owner, etc.) when ready.
Applicant
STRUCTURES NOW ON THE PROPERTY
Partitioning #
X 146 13sJ "oles will be ready
Subdivision FIRST ADDITION TO BUENA VISTA
Lot
19
Block
1
Silver Lane,
'}S Kathleen
Sil ver Lane_,
I Contractor.
Eugene,. Oregon
c,t'. Snrin!rfield.
Eugene. Oregon
Phone 688-9598
Or~hone 746-77'l!L_
Phone 688-9 '198
Cmtractors O. S. # 14799
Sin!rle familv dwellin!r
\~.A ~,I,.,
",bedroom \~( D ~____JL.lk:drocrns
PROPOSED USE (this permit)
Remodel interior and addition on to
WATER SUPPLY
N/A
N/A'
N/A
(existing or proposed well, etc. If public, name of system!
SEWAGE DISPOSAl
(existing or proposed septic tank, etc.) S.I. ==
PLUMBING BY.
Address.
) PROPERTY IS WITHIN ONE MILE OF CITY (
*.**......***..*~...***********..**...*****...**...*OFFICE USE ONLY BELO\V THIS LIi'JE .................~..*......*...*........*...................+...t...*...+~++.+..
" I Ne~s)tJecessary ~Cility Perm.it Necessary' ~ial Permit Area. r:::inimum Eleva\.i.oA-;-~
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~J" -_ SETBACKS: Front~_Yide Facing Street . Interior' Side Yard Rear~
\rHlJl~1 CENTERLINE OF ROAO) IFROM PR :::, ':' LINES)
. To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
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Permit Processing Section
Responsp.
C55.12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section.
125 East 8th Avenue
687-4394
nivision
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BUILDING PERMIT~o/"t?~-7cr
OWNER
address
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CONTRACTOR.~? /'r','-.A?"/..,/.. /~ / ~ ~..AAi/;-~;..,,_.,>/ ,;;..//(, ~-r':;;R
. /' ,- address phone
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l'Jamt. due
[]refund
phone
PROPERTY ADDRESS
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(Building Valuation)
Reyised( ,
[~addition
'[]correction
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r. - Waste
~!~ /"7 >-ru, ,,;J~v~- 78 Plumb.
l/-Q;tt'.7/dL~/ /S~'?'.~{:~/' !i'/.12 ~~i()
.~/2 '" - ~OTAL' amt.paid amt.
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Signature of Applicant, i,' J<-- ':'. i ;; i' ~
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, Fee Received By ~- Date ~7-~r]cash
;7-'" ~ I"UU::':> LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
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C74-119
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due /7. ~ it-
Date 7, :J. 7/
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lANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 E . 8TH'AVENUE, EUGENE, OREGON )1.
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~PLAN~'NG DIVISION
pact1t1on!nq ,
Parcel No.
Partition1'na. Reouired
Other t'
~NATEk POCLUTION CONTROL
New Site Inspectiqn(8)
60S Co.nllt:ruction 0 New,
Number at BedroomSI
currcl!t Zoninq_
. []pending [JCompleted
.FEE
. AVERAGE PROCESSING'
TIM>:
$
$
o Repair'
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Conunerc141/In.dustr 1al - -f. ot Employees
Other
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CONSTRUCTION PERMITS AND INSPECTION
(See above tor , of bedrooms;. of employees)
o :"'obile Hoine' , 's
FEE
o Permanent
o Temporllry
~. 0 Renewal
A?~b;I.c./ sq., :t.
1'- ;I r /
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Valuat::ion
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__ Plumbing fixtures. at
~ SewerjWater Conn.
~otal V~lu~tiori $
$
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Each
I:ach
$
$
$
$ --
$ /0 G--
$ , -:r , CYO
$,
Subtotal
~, State Surc~arqe
PIAf"l.8.Check Fee
Change ot Occup~ncy
.TOTAL BUILDING PERMIT FEE
$
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Minimum ~tructur41 setbacks:
FrOm centerlina ot street: Front
Extedor .Side
From inter10r ,jot 'lines: .Side Rear
D Comm'l plans sheet "to' applicant O_curb cut to applicant
Address
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PUBLIC LANDS 0 Address'
[J Minimum ~lev3tjon
Minimum Elevation
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PUBLIC WORKS. 0 Facility Permit'
Ca.h.
Cheer,. . .
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$
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ENVIRON~NTAL HEALTH
TOT AI. -
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AFFIDAVIT: It this per~it is for an agricultural bUilding, I hereby declare that this building
will be used for agricultural purposes as allowed by zoning and/or the State .Building Code. 'and
for ria other purpose. I further certify that the statements and other information submitted on
this. application are true and accurate, and that I have the following legal interest~in the
property: _6~r of record;, contract purchaser; . lessee; holder of an exclusive option'
.to pureha,se;- ,T\-dUlY authoriz~Cfto. ac't for a person wii"C)h~s the toIl~wing legal, interest: . :
, . ; or that the owner of record lsknowledgeable of thlS '
("4pp~1cation.' if I am not th~ owner. ./ further agree to.-comply with ,all 'applicable codes rel4tin9
/ to thJi!.,Pe~t. 'ff , . '
Date 7~ / - 7a App'licant's S'ignature X
bne county
'THIS IS YOUR RECEIPT, AND DOES NOT'GIVE YOU PERMISSIQN.TO BUILD.
FOR INFORMATION ABOUT THE PROGRESS OF YOUR APPLICATIO~; C~LL PERMIT CONT~OL, 687-4357 (687~HELP)
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NOTI'CE
LANE COUNTY DEPT, OF ENVIRONMENTAL. MANAGEMENT
Construction Permits & Inspections Division
EUGENE, OREGON
This building or structure does not confo.rm to lane County building regulations, ordinances or codes
as noted below: -
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C55 -7.3 RE-INSPECTION REQUIRED
FOR APPROVAL
Inspe:=~.,??~.II_~J Date '7..J.19h,/:.
Building Perm,it # _
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CORRECTION
NOTICE
LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections Division
EUGENE, OREGON
This building or structure does not conform to Lane County building regulations, ordinances or codes
as/noted below,
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C55-7.3 RE.INSPECTlON REQUIRED Inspector \...flA 1-::A//.0..1 15- Date 7_ 2-e;- /,6
FOR APPROVAL P ~ "C, ' ':'
-- Building Permit #,CJ,..,o- ,./J..d.A?., 0/ ,;f-J .b /{
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JOB LOCATION
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LANE COUNTY PERMIT
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Acreage or Lot Si?Q&:I_'~AI:2(/;\I.)v.93 Partitioning # 7 P1-'. .'( ) Completed
Contractor's O.S. # / (/. .7 9' 9'
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Subdivision 1~;91.l. Bt{'7;,.Jl'r I/'SI;")
Lot I '7 Block /
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APPLICANT'SNAMEANDADDRESC; GdoS,o;) ~Pl4h:.H' ~-;.JC. /'}5""!"l uEIC &'. .E1fr{,~tn/e- ~.?""b~
OWNER'SNAMEANDADDRESS c.LnJqk I-/JlJ-l.i. ~3i-k'/7."'IlI-"'.o/ "-1; .>prteJ. 971/'-'1
CONTRACTOR'S NAME AND ADDRESC; .Jj f/.bl. ,c.. 4 -VI ~,.
Mail permir~o ( I Applicant ( I Owner ) ContraCtor. - ( Xl Prefer to pick up. Call 6lf-i' -l"'S-~~
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.r"",,~TRUCTURES NOW ON THE PROPERTY De...> f:,t.lllJ 6J
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~THISPERMITISFORtX.(;>P\JJ.,,1. INf~A:.Jb1f of-AJd. ON t"b{"J,I<o~vl z,..BEDROOMS_#PLUMBINGCONNECTIONSP'&
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WATER SUPPLY 5 pf:, L d. SEWAGE DISPOSAl .E x I <; If W r:...
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THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF S P F L d, ," PLUMBjlNG BY
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I hereby certify that the above statements are true and accurate, and that I have t,he following .Iegal interest. in the property: _owner of record;
contract purchaser; _ potential buyer;..JL. 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 $ '3 7. :s-..2 . Signatu re /5/ 5 q c: 13 /1: lIS 0 DaTQ ? /.;2 (";j,/ Jj"
yJ;i'NEW ADDRESS )VAI.FACILlTY P!=RMIT TO TRANSPORTATION DEPT~ ' . ':~(1If) SPECIAL PMT. AREA. MIN. ELEVATION:.A/,,::'~
SANITATION' BUILDING' ,,"I
./ Minimum Septic Tank Capacity (Gallons), __;:;AJ'Type of Construction./' - . ;; Group
" .. .... ~'"., Drainfield Required - Lineal Feet ,. d~' _'~-:'-~___ _-=---Use Classification
Qo~ments: "../. ~aXim/um ~ePth /, ,/ '..,' .;...: c~~rTlents:?
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Phonp? Y',.;- ? 7., ,1/
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(owner, etc.) when ready.
S.1. # /;//9-
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PLANNING REQUIREMENTS SATISFIED. By: 0,;.....//1/1) J;[ c-P/FJ G S Date: ?,/.;:J G/7r Date Issued: Y/'/'/?f/
ZONE: f,1+ SETBACKS: FRONT 4./:)' SIDE FACING STREET - (FROM C/U INT. SIDE YARD.S-'REAR ..s->'(FROM P/LI'
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE. EUGENE OREGON 97401 PHONE: 687-4394
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POST THIS PERMIT ON MAIN BUILDING AT SITE
Date: '9- 7- 7 R'
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BLDG. PERMIT - WHITE, BUILDING - GREEN, PLUMBING - CANARY; SANITAl"ION - GOLDENROD; OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVED ~PPROVEO
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REMARKS
FOUNDATION INS~ION
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CERTIFICATE OF OCCUPANCY
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BUILDING PERMIT=<9'tI't:l-76'
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Signature of APPlicant~;.~.n,'il fi1;;tIJ>.~1 Date 7'-7-7/
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Fee Received By ~ Date ~-~r]cash [~check
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