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Home My WebLink AboutPermit Building 1977-3-7 / // , /, , r I'TRS, TI /(..3- .,2,3,3 :tF- 63'00 JO~ LOCATION J q-q) ,1IiJ:i-;UHYL. ~, PERMIT # ..?j:.'-r'- /7 , .' .. -"':~ , f v' LANE COUNTY PERMIT Acreage or Lot Si?~ ~ r:- )( / C 0 Contractor's O.S. # Partitioning # ) Completed Subdivision 41;~ ~ - ~t 'h i LOT /8' Bloc~? <," .j (/;_. :- _t.j~ /f- _r~Z_ APPLICANT'S NAME AND ADDRFC:C: I~. .'" OWNER'S NAME AND ADDRESC: ,:j.;,. CONTRACTOR'S NAME AND ADDRE'''' . Mail permit to ( ) Applicant ( ) Owner ~ ,. " , , .., ,'r !~-';' . /''j? / /~/t??,: ...4'':,(.(...... Phone Phone Phone . (owner, etc.) when ready. 9'0'. - 7~.t?~ ~ ' -............ ) Contractor. ) Prefer to pick up. Call ! STRUCTURES NOW ON THE PROPERTY " // ("' :L~' ,':e , /// '.' ,~ THISPERMITISFOH.. p"1"r1./~/.r-tu",aT~7J . \il,,\ATERSUPPLY ,.....:.?//~"-f~"'.L.../ SEWAGE DISPOSAl ,# BEDROOMS_# PLUMBING CONNECTION5-- . . / _-"'.j ~ ._.f ---. . - ..' , ". .:.....J .'_~ .'7 S.1. # THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF , , 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; v contract. purchaser; _ potential buyer; _ realtor or agent. I further certify that lif not the owner) I am authorized to act for the owner of reC'ord, 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 /> J3;,7fY Signature ,( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. i SANITATIO'N BUILDING. - Minimum Septic Tank Capacity (Gallons) C(/\./ Type of Construction ./l.-; ('-Group Drainfield Required. Lineal Feet / - . . . ,Use Classification Maximum Depth ~Co~~~~'~~: tV.'-;'S.I ;r -"!t-. PLUMBING BY J \.......i..._....... Dat" " ." ) SPECIAL PMT. AREA. MIN. ELEVATION: qq')' :2. I Fire Zone Comments: /" /' \ '1\ .-:.. , '- - By'. '~-,;, ....~:;l.J ~ Date'. ...'fI.'....., .r', ~ By'. t/" ;." '/",".' '.,....~.."j.. ~ . t' ~ t........ F / '_-I'l.. I .--1-~:....d -"".... ~_ F. _ PLANNING-:REQUIREMENTS SATISFIED. By: ,,).1"/. ...e.':...,- / Date: 3- 1/- 77 Date Issued: ZONE: /-;7'9-.P111 SETBACKS: FRONT '/S- SIDE FACING STREET - (FROM CIL! INT. SIDE YARD :r REAR Date: !3~]::'-7-7 ---- -': .,;. 7,..',' 1:Z(FROM Pill LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55.'3 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE " ("~ \ ~ '\ , r--::'-:';':;\ . /., ~,'.ili;;=:'-- ' 1.,..~V;/"'." ~;>) . . . L''; l' ';. 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Job Location /9' 9/ ~~ -~. /~ . !/p}?-7rl INFORMATION SHEET (LA13uilding Permit ) Site Feasibility Study for Septic Tank. Number of sites ( ) Would like to meet on site. Call (owner, etc.) Acreage or Lot Size ("r'J X / L7J Test holes will be ready Partitioning #. ( ) Completed Subdivision 4z?C~ --:::J!..,~ ~-^-<-- ( ) Pending ~ ~ ~:'I ,4 /J ( APPLICANT'S NAME AND ADDRESS d,.,./>~ ~;::.~~ !...77/ ~~~"~ OWNER'S NAME AND ADDRESS, if different from appldnt's . CONTRACTOR'S NAME AND ADDRESS 'Jlail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY .,h; n-/-_/'.1 /L"",// PROPOSED. USE (this pe~'t) P~I2~d~ } If ~~ ~ V JIJ (rtI~ CJ/ WA TER SUPPLY.' ~ (existing or proposed well, etc. If public, name of system) SEWAGE DISPOSAl <~~ PLUMBING BY / Lot /P Bloc~ b Phone Phone Phone 7C/b- ;7~-4JS" 700S- .(existing or proposed septic tank, etc.) S.1. J< Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( ~******************************************OFFICE USE ONLY BELOW THIS LINE ******************************************: ( ) New Address Necessary ( ) Facility Permit Ne'c~ssary ZONEfll-ml/ SETBACKS: Front ...vS/~Facing Street (FROM CENTERLINE OF ROAD) ) Special Permit Area. Minimum Elevation; Interior Side Yard .::;- _ Rear ./7 (FROM PROPERTY LINES) I To; Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response' C55.12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687 -4394 Clivision 'Y- I 11 .TRS,I' J'R-3-';:< JOB LOCATION /) . , PERMIT # .tjP?- 77 ,;(JP1_j~'vM1~ ,/~k/, . / f/t/ . LANE COUNTY PERMIT /q-CJ/ Acreage or Lot Size 60 X / t.J 0 Contractor's O.s. # Par'titioning # ( ) Completed J/~ /J' ~ .~ -:;z ,1/;" -+- _ IV . Subdivision ~WZ~ ,~'-"'",-v~~ Lot /f' Bloc~ h APPLICANT'S NAME AND ADDRESS ~p/uff &LU~ OWNER'S NAME AND ADDRI=C:C: ~ . CONTRACTOR'S NAME AND ADDRFC:C: Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY G~./ ~ fHIS PERMIT IS FOR PA-?.-C~ (~/..f_.4~V"Y?..L?n;" ) -1/ C' ~./ ~ SEWAGE DISPOSA' /99/ ~Ll~ ,/// Phone ;::"y",-;7<POo- Phone Phone (owner, etc.) when ready. \ \ )?.\~O ,." '&--- ~l!l""4'" C;.OW\\>\~_ ----- --- - ------- or WATER SUPPLY # BEDROO~S_# PLUMBING CONNECTION~ /( c::.-' ~_j...,.7~..." / . PLUMBING BY 0' S.1. # THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF 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; 'v contract purchaser; _ potential buyer; _ realtor or 'agent. I further certify that (if not the owner) I am authorized to act for the owner of rec~rd, 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 <I: . . Signature ~.,-</'t:I- ("eJ').....;.n/t-1-. Date ~J. I..! /II 77 ) NEW ADDRESS (. ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: ~C/9' .- SANITATION , " ,.. Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet ;.., Maximum Depth BUILDING '. ~ ~^/ Type of Construction A.4A'~r:;roup J - ,.... .. -Use Clas~ification ~~'r Comments: f -~ Fire Zone Comments: .'- I ,~ ,- p a:. .~ st: ~ Or( LANE COUNTY SPECIAL PERMIT AREA .... Q /J / /')) J/ Date: 0 -7- 7 ? . By: .,y::: /:1,~...v tu?. \J~ Date: 3 - 7 - Z 7 PLANNING REQUIREMENTS SATISFIED. By: ~~ i' Date: ,;3;-1/-7'7 Date Issued:-/'-7--7"J ZONE: 1'i,-A:::/1f1 SETBACKS: FRONT ;t;)" SIDE FACING STREET - (FROM CIL) INT. SIDE YA~REAR /7(FROM P/L)' -........--, .~ ~SE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 ......... \ POST THIS PERMIT ON MAIN BUILDING AT SITE ~ BLDG.PERMIT-WHITEj BUILDING.-GREEN; PLUMBING-CANARY, SANITATION-GOLDENROD; QFFICECQPY-WHITE By: ~ PHONE: 687-4394 SITE INSPECTION rp \ .~ ~ APPROVED.Cl DISAPPROVED.Cl DATE REMARKS FRAMING INSPECT~ ApPROVED 0 DI5APP~OV[D / / REMARKS LATH'OR SHEETROCK INSPECTION APPROVEO / INSPECTOR DATE~ - 1c!J' 701 NSPECTOR ~. if - REMARKS / DISAPPROVEO ~/ DATE INSPECTOR FINAL INSPECTION ApPROVEO, ~D/SAPPROVEO .Cl REMARKS .' ::;-".~~ CERTIFICATE OF OCCUPANCY ., DATE.b..=./O -7%1 NSPECTOR\hJd V - READY TO ISSUE /. I NOT READY TO ISSUE .Cl DATE INSPECTOR REMARK 5 .