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Home My WebLink AboutPermit Septic Tank 1974-10-21 'Cq'p. _ /~::r ,1: . J' ~. -t,,,,,,,,,;,,,,,; . ,'/-' \ '~''i,\ ,fJ":, :.; ~ ......A. ",; t." ,,-,7t . \~ ~i ~.pROr'.:RTY OWNER , CO'E;ER~, _J~ANNE, K. CONTRACTOR :SAME '" ~, (ANE C<. ~HY BUllDINGO BUILDING ,MH D. MAILING ADDRESS' 820 CENTENNIAL r'\ PERMIT OR MOBILl_ ,OME USE PERMIT PERMIT NO, ';;"132---71/. -i;I lV-I-.",. 2132-74 ',' SPRINGFIELD' OREGDN , PHONE 726-7612 ' ;; MAILING ADDRESS PHONE , PROPERTY LOCATION ..,.-;:-INCLUDE POST ,OFFICE 2098 HARBOR: OR'IVE SPIHNGF,t ELD OREGON PROPERTY LEGAL DESCRIPTION - METES, BOUNDS LOT; 53 BLOCK .3 5TH ADD, IT' ON TWP RANGE \. SECTION . i8 03 \\'" 11.2.2 . . j F l'l,BERT GROVE TAX LOT NO. 2800 CODE 19-01 ','. CENSUS TRACT 17,.18-; APPl. -...:}t'!', /;lEANNE' K., COBERT' EXISTING STRUCTURES ON PROPERTY' . NONE LEGAL ACCESS .TO PROPERTY. HA~BOR DRIVE PROPERTY SI~E - FT. " NAME , &' MAILING 820 CENTENN IAL ADDRESS SPR INGF'I ELD ,OREGON FOR MOBilE HOME PERMITS' ONLY ,', No. of B:edrooms .' .,,:STRUCTURE5<~O'B.E'~UILT. THIS'I?ER~IT ,0..);.11 i!STAl.l )EWAG~, 0 ISPOSAlSYSTEM: .. ,"'- WIDTH DEPTH AREA Connect to Existing Sewage System 0 T,:"PE CON5.TRUCTION SQ, FT. :/= BDRMS New System 0, VALUATION " ~ ''"'!......:.. \, SEWAGE DISPOSAL pUBLIC /[j110R SEPTIC TANK 0' BUILDING $ WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER FEES PLUMBING INSTALLED BY OWNER 0 . OTHER: NAME WATER SUPPLY OTHERD ';0.00 PUBLIC 0 , , o OTHER < I'IATER ,- , MIN, SEPTIC TANK CAPACITY , 7"0 .WITH DI_ST: BOX: 'GAl. ~ 50.00 COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN fielD REQ~IRED DEPTH L1N, fT 100 , . -TRENCH "';IDTH ~T. 2 t i TO 3' 'OR SQ, ft. ~ - TOTAL $ 200 TYPE OF. STRUCTURE OCCUPANCY ZONE RA MH PUBLIC UTIl. EASEMENT BLDG. SETBACKS __ FJ.I FROM CTR, OF ROAD RIGHT OF WAY FRONT 45' SIDE INT, 5' SIDE EXL '10f'PUE AUTHORIZED SIGNATURE - DATE Isl J. E. Boss \BY. C. HAflBAUGtI USE ClASSIFICATION REAR 5' , J, $tIDOK/ SAN \TAR I AN , DATE 10/21/74, 'DlM BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY r'AX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD '^:,PORTANT: Call 687;4065 to sch~dule all required' inspections. All construc- tion shall, comply with Uniform Building Code, D,E,Q. standards for subsurface sewage disposal and county regulations covering plumbing', All buildings require a certificate of occupancy before being occupied. '(?ee ~etails on Reverse Side) cORM;;;;; C55-:13 (Po~r 'THIS PERMIT ON MAIN BLDG, AT SITE) . LANE COUNTI, 'DEPT. OF ENVIRONMENTAl. MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 , I i I ~ ~ I I '~ '~ ~ \ \ '. I) I, /h .,- ~ ,'. . , . ~ RECfEH/lED '3y ~ -' -.;, l",' . , O'.GTl G 1974 LANE COUNTY ENVIRONMENTAL MGMT. ;:z /d:2 - I i _ To lOPe. (0-\7- 7'1 BUILDltU; SITE EVALUATION ,- -:F~6Wl' \Jjrc.. 10-1<6- ,I -jL/.,/ 7 o 'lit-, . '<3 R o~ S \ \ I 'Z.. Z. TAX LOT "2~ L~"SUS TRACT (v-Building Permit Application No, 2\sz.-I4- () Site Inspect ion () Pre-Permit Investigation APPLICANT: rt> r ~ L NAME ' I n V) f" V I ADDRESS PHONE DATE /(') -/fn - 7L/ 7' LANE COUNTY PLANNING DEPARTMENT NOT NO YES ~I icable I, Zon ing Ordinance Compl iance (vY" ( ) ( ) (ZonepA.-ty\\-\ ) {~( ) ( ) 2. Subdivision Ordinance Compl iance 3. Required Aecess ( ) ( ) {v]"" 4, Building Site (Area, Width, ( ) ( ) (vY Frontage, Setbaek) ( ) 5. Ot her (see comment's) ( ) ( ) - - COMMENTS: NAME DATE ~<-G1 tb{lio /14- --- . BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDD~ i~able {-;- ifiJA 6. Plans Submitted 7, Soil Stabil ity (foot i ngs) ( ) ( ) ( ) 8, Flood Plain ) ( ) ( ) 9, Other (see Convnents) p ( ) ( ) {} 1I~L, ItF/8' 7Lf- f COMMENTS: V = SANITATION SECTION NOT NO YES JIU' DATE aDD I icab I e , JOh/7C( 10. Sewage Disposa'l ( ) ( ) ( ) 11. ' Usable Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ( ) 13. Other (see Comments) ( ) ( ) ( ) " COMMENTS: TO APPLICANT: ~_1U ;)r 1,0' I () :) ( ) ( ) ( ) Building Permit / SJte Inspection: Can be approved, Cannot be approved'at this time as indicated on item NO, above, Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 through 13 contact the Lane County Buildinq and Sanitation Division. Will be held in this office until you can resolve the problems indicated, Is being returned, Your build1ng permit appl ication fee is being returned under separate cover, LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-28 r ~ F 'U'~""~r'"'' " ~~ ,i" I;' .. " \ :, """, LANE CC HY BUILDING D ~ BUILDING PERMIT OR MOBILE, MH D MAllINGfI~DDRESS 020 CENTENNIAL ')ME USE PERMIT PERMIT NO. I PROPERTY OWNER , . C~ElIT, JEANNE 1<. , . CONTRACTOR ::S.AMt Sl"lIlHGnltLO MAILING ADDRESS ~ . i ~PROPERTY LOCATION -INCLUDE POST OFFICE , 2095 H~ftBOR OR I VI SPIt I Hal' IItL D OftEGOtl . PROPERTY LEGAL DESCRIPTION - METES, BOUNDS : lOY' 53 BLOCII 3 5TH AOClITION FILIIUT Clflovc tTWP 18 RANGE SECTION TAX LOT NO. 2800 CODE " ~,~:';:;.:-:,-.~, 21)2-74-' .' OIlEGON PHONE 72&.. 76Ij~' PHONE , . 19-01 CENSUS TRACT 17-18] 03 11.2.2 APPL EXISTING STRUCTURES ON PROPERTY Naill lh:ANNI' K. COet"T 820 CENTlN" I At. NAME & MAILING ADDRESS Sn . NGF . [L 0 OIlI!ll1lN FOR MOBILE HOME PERMITS ONLY ,No. of Bedrooms LEGAL ACCESS TO PROPERTY l-IARISOII OIl'VI PROPERTY SIZE - FT. WIDTH DEPTH I' AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT .;t:BDRMS New System n j VALUATION 'It/lULL SEWAll: DISPOSAL $VnI!MJ k I ;_:.tt .Vt,SEWAGE DISPOSAL . J.."PUBUC ~"lltl!~ SEPTIC TANK 0 ~:~PiL[),I(~;C:;''-'' - <t 1.",-,_ ""-'_' ,..., l>WASTF;~I_SPOSAL i PLUMBING , . : ~LAN REVIEW : eARKTRAILER OTHERO PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY FEES )Q.w. PUBLIC .0 o OTHER TOTAL <t ,0.00- COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED UtP'TIt UN. FT 100 TRENCH WIDTH FT. 2' TG 3' OR SQ. JT. ~ -1 . MIN. SEPTIC'TANKCAPACITY . 750 . I l WITH DIST. BOX: GAL. '-., 'TYPE OF STRUCTURE OCCUPANCY !i WAT~!t "-<~',,~) ~', "I . j , :~:-f,..,;~. J ~i' hl1: ""':.'~'.,l..,..i.;',' ',J; ~ i 1~ '" _.~' ~,t ,,:. 1=~'~ -; -~- ~J1 ':.' ,'};. . ""C .,-" ct'f' ,h q I ~ ",,1,; I,i: , '{c . ''1< '.~ . (.::rji '. i~': -'~~~1. "~ /i~~'-:::':;i2j",:j,~~;~. ,'.';:il1~, "~}r.~~-~~~ ..,. "-.t:I<' }!~~, - ~~;: .~.i.}f' "j. ,..,"~t..- .:'t .".. \,~t.':'t ZO,NE~ PUBLIC U:r1l. EASEMENT; L ,- , .' ;"t " Call 687.4065 to schedule all required inspections. AII.tonstruc. tlon shall. comply with Uniform Buildi~g Code,D.E.Q. standards for subsurface sewage .disposal and county, regulations covering plumbing. All buildings require a certificate' of occupancy. 'before : being occupied. . (See Details on Reverse Side) RA BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY , ~' " 10' pur FRONT SIDE INT. SIDE EXT. REAR AUTHORIZED SIGNATURE - DATE '/$/ J. E. Ilon 8'1' C. HA"AU"" " USE CLASSIFICATION J SHOOK/SANITARIAN BLDG. PERMIT -:- WHITE -OFFICE COpy - WHITE. 'COUNTY TAX - PINK I 1 PLUMBING - CANARY BUILDING - GREEN !SANJTATlON- GOLDENROD I IMPORTANT, ., -"f 1 (POST THIS PERMlr ON MAIN BLDG. AT SITE) , LANE COUNTY, DEPT. 'OF. ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON .97401 I ./ FORM-"=C55- I.';}:, ,<; '- :~ ; ':;~'..L. . :'...- -" ......-,.., ~.'~.' ,. ., . , DATE lo/t.t/fltii ~ , I \ \ SITE I NSPECTI ON ApPROVED .Cl DISAPPROVED .Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED L-/ DISAPPRDVED L-/ DATE REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE REMA'RKS LATH OR SHEETROCK INSPECTION ApPROVED L-/ DISAPPROVED ;----7 DATE REMARKS FINAL INSPECTION ApPROVED .Cl DISAPP~OVED ;---? DATE REMARK'S ./)// /f.//./ . // / AA_ ~~i'.,~ ;:;; CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE ;---? DATE REMARKS' , "\ f,. .' ~ ~ . . INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR ~ INSTALLER: " ',':~~OPO~ .SEWAGEO'ISPOSALSYSTEMRECORO ~ . "..', ! Complete,. top part or' fo...,to:signatiJre' and submit. bot~ co~.es ~ithappl ication. ,.- " ,.' . . PERMIT NO, 2132-74 . '. INSTALLER ',S NAME pROPERTY AUURESS :, - JS' J~.;:ry /1/7d;';z:r- .;, HARBOR DRIVE No. Living Units B,e.dr-oOms Battis / :Z'r, Septi'c Tank:' ,.' Ft. fr'om'well Steel .[J;' . Coricret",' IVI. No. .compartments .Gal., Capacity.. . LlJ z.. /tJO,.J . Tile Oisposal Fiel.d; Oepth;2:' Di'stribu'ti'on B'ox: . Yesy Other.:' D i str i but i on- Typl '"., _.;'-, Basement.' Water Supply'. . Yes. No)(' ,.Pub 1 'i c V :Other-Li st Iris i de Dimens ions: :Ft. lengthSO' Widtti !:i" Dia'meter OWNER NAME No JEANNE K. COElERT' MAILING ,820 CENTE.NNfAL ,', ADDRESS' SPR 1,!'lGf\ ELD .OR~GON' Feet from', WEll ..fuRL ;", ,Lot. Line',', ' Front' "1'0" Side q()' .1 rt. Between IF11l?r 'lEi Iler Dept~ L i ;,es It')' TvpeR",,.. Above Ti Ie L . Foundat ion ~o.v r=- Leng;.!> of L i nes".Ft .::; '['Jr",nch LTota 1 Sq. (f\ (2~ 3, 4. "5'. 6.' WidtiPl-/f' Ft.; 200 -iot Plan (see .instructions!.: Rear: l .7-0' IFiller Below inJrJle,{, in. ....... ;. ., 1. : ;<J~ ~ ' ~. ------. ; '..'. ,& . . . .. j I-- ._ (").0' . \ '.~ <pr4. " " r ~'. __(.!J"~ . ~Etff~'tj), ,.~_._.~ -_.-,-, i!fj ;;:.c-' " .!' A\ .. . .' ~l~ ," ", . ~ ~" ~ '-::F- . .~. L-"" 'r. ., IV . .,1(-'>0 4~~ .~. ,o'-Jt)!.. ~~ . ;-:.'e. .J ,.J. '1'P' ~. '" /h4J;ty2"1>~~ ' (/;/?/11/J11) S i.qnature 1/ . ." " CERTIFICATE OF SATISFACTORY COMPLETION . 'For Sani.tarian"Use Only:.... " v . . I n accordance wi th 1~73, Oregon Lat's Chapter 835, Secd on 214~:thi s cert i f i cate 'as evidence"of satisfactory. completion of' a subsurJace sewage disposal' system location.- . .. .,' , ' ~APproved,: System Installation conforms to,cu,rrent standards 0, Disapproved: '.Does not 'conform to current st'aridards.;' , . Rema rks: .. . . " . p~t\lt coUNty Mt . EW!\~~HMr,l'I1P\h MG . ': ~ "0 " , . '~ V , ...":.. . fd '~id;- .Date Date:.3.- 2~ ",:15 is ;issued . , at:'theabove ~' ,~ " ; ~~', STATE OF .OREGON DEPARTMENT, OF ENV I RONMENTAL QUALITY _ _ , " '..:. .., _ '.' .,",., ..-, ,d; Signature .. ,C55-11 .",- ,', " .~ . . "h ..... ~ . . '. '.. ',. '- ~~ - . \~' "<-'-'. .', ,,>,,' <;: i . lANE COUNIY' .."~:~' . .::~~)3.2-/Y ,~.,;'~~. ',DriA$1ENr OF ENVIRONMENTAL ~ .. Mobile Home '.'-;''"-,' _.J. . t ~ -. "APPLIcATION FOR BUILDIN; PERMIT ORMOBIIE -HeW: USE '.' NQIE: ,No permit; will be"issued \mtil this application Jus ,been approved. PLEASEPRINI' ,'.. .,'", '. . ,.' ,. ',' ',' PROPERTY LOCATIQN: J1 Q....CJR. HAP. Bo.A . DRIV~ " ',:' ~~J:lIjP)~/d. /0teCff'l .' 1M' Iii:' RAN;E t> <~ . SEC. /.I507.oZTAX wi fI t) 8-0 OConE IY-Of CENSUS TRPCr /7-1'?7 ;N6: 0-:5 BLOCK ::s:" ,SUBDIVISION 'J!l9a~. ~.!!,,/ ~vJ'-.-.... ,,', . ., . , ';/ <' '." . /I..... PROPERTY SIZE . . . ...' . ACCESS TO PROPERTY /'if ~~t,.." wri:rrHP o/'DEPrH './;;7 () ORACRElCE . . DESGRIBEEXISTIN:; STRUCl'l.JR.ES"ON TI:iE PROPERiY.' IJ..fi'j'/<P: i. . . 'APPLICANT . , ,... ' MAILIN; -: .' -". , NAME, tJeanne_ J( ('0 b('j-t; ADDRESS RJ.,o (1h'tenILAI PHrnEJdj,-7t,J'J, . CDNl'RACIDR . " '." . . MAILIN; . . ,f, ',u . . NAME',. '.' ' , . .,". ,,' .' . ADDRESS .' ':' ~ptlnqr!e." a, PHONE. . . . _ ' '. .' ' " -- ,'en O,etlJ,.,'t:! BELCNJ FOR OFFICE USE- ONLY"d\J,,'dd..~'..', ",l.;.;,;. ,\.,\.,\.k;..-. ;.;.;.:. ;,;,;,.''''fk''.dd(j'dddd:?'OO''''ddoo'~'':""""",;, ;.;.:.;./.;..~ _:./.;'. :.:.~'.':.;.;.f: Struc~es to .be built/MoQileHorne . ,8q; it.. :< jtbedrooms. valuatioh .... '.: Cf-. ','7;; ///J '<.'""' '/1 c;:r' " .' ._ ".'.~ ~'u /J.--->;' . . ..". -- - . . '. .' .. . . ~.' ' . .. . . . . - , , p~ a':4"f~G !A17l--w-JP/h.~ ::iewage'lJispo,sal: n" '.,J. ..... .'... '. . , . Site Inspection jf.l~;,a,t/()&isting sewage disposal ,~yst:m'O or new system reqUired Water ::iup]J.ly: .' . Public j:i<( District Name Well 0 Spring CJ Other ~.. /' ./ . Bldg. Waste Dis, Plumb . . mg Plan Review 'Ti:ailer .. . 1% surcharge . '" Fees /," , PlUmbing InstAlled by CMner Other Name: / . Plumbingyees' Sewer . connection ~ater connection , .' . ~ bf..fDf~es' .inspection,fee /' inspection fee . .' . n Ca:yh , " Plans furnished ' . Facility Permit . l;J.efi.eCk 'fJLohes lll?J.JJo' 0 .. Yes 0 ,No'~ " , . . 'Signature of ApPi5~t ..'. . date/a.,;'C-.:1:- TOTAL. (~7i. '60'" Fee received by../ /' date7'o>/C-y Y , . / Min. Septic tank capaCitL " ' " Drainfield rei:JM.red ' -/ ". .,.,. '. f) I I with dist. box: . Gallons'7S"OLineal Feet /OO'':\Yench Depth '^ iu,< or Sq.Ft, 2:60 "j ':"/ J / / ~e ot structure, oc~upanCY'. Ff-re 7e.. . . : Use Classification Blgd. setbacks,.tt. trom center'ot road~t ot way '., .'. Front 4'5' ' Side Int.. :5' Side Fxt,e-i:iorlO j:J1I GJ 'RearS I . , Zone R~ - rv\ ~ .. . . 1<-0 '0--0 . . , " . Plahhing ctkJ:;;I,{'ollb/?4 ' de': 11"" 10/1'6/7'1 f:;"tJl/ N~ -7<' dac, , C55-1'2, " ~.,', -'. r '-, .' . , '1"" o LANE cOUNTY'BUILDING PERMIT BUILDING []]X . MH D MAILING ADDRESS 8ro ca:llTll:i~lAl MAILING ADDRESS 33231' . LLI4(])Ilt; Euc;wo:. OtlR:GO~ .,.. \ :...,~. --t ~,. -,~ . ,- .~: .~.,"- . - - ,I.. . ~;.. . ~, . . , , ..... -~. . l. 0# .....:.. \..../ OR MOBILE HOME USE PERMIT PERMIT NO. : .--_.~" ,.,,-,.- - .. , ~~A..71; .-. PHONE 726-761;:1 PHONE PROPERlY OWNER r,1:1S JIrAC'l COI1ll!DT SPR fllor IIrLD OlllEam> CONTRACTOR RO~ELL CO~9TnUCTION Co PROPERTY LOCATION - INCLUDE POST OFFICE SOUTH laRD $1Rll:U 1'0 [I/O or OlInIS STREItT TO 2Ol:lB HAaSOR DROVE YOPERTY LEGAL DESCRIPTION - METES, BOUNDS ) ( 5TII ADDITION TO Vl102\lT GFlQva; Suo: LOT '53 BLoclt "I ~P . RANGE SECTION TAX LOT NO. 18 3 11.2.2 CENSUS TRACT CODE APPl. EXISTING STRUCTURES ON PROPERTY RoaltLl Co~lnTRUC:T I Or! r.of<lIJ: LEGAL ACCESS TO PROPERTY , G [m11ll I 9 TI'I HA ROM fih "'~ PROPERTY SIZE - FT. '1 Call 687.4065 to schedule all required inspections. All construe,; tion shall comply with Uniform Building Code, D,E.Q. standards, for subsurface sewage disposal and county regulations covering:. plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms SAME DEPTH AREA ,I WIDTH Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. t:: BDRMS STRUCTURES TO BE,BUILT THIS PERMIT ~ '-. ,'I:-. ' 'QM f'I 1;. ':to GARAGE ( r" 2P12~ 74 SEWAGE DISPOSAL PUBLIC D SEPTIC TANK D BUILDING t. WASTE DISPOSAL PLUMBiNG PLAN REVIEW PARK TRAILER 3~SUQCIlAIlGII TOTAL OTHERD ~fi.M FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY PUBLIC D D OTHER 11. on 1-U7 "lO. b7 COUNTY BUILDING & SANITATION SPECIFICATIONS $ MIN. SEPTIC TANK CAPACIl'~': : WITH DIST. BOX: GAL 1000 . DRAIN FIELD ,REQUIRED lIN. Ft.-...... "'I, - .~-. TRENCH WIDTH FT. '-\ OR SQ. FT. ...."": - , rJo PAOT OF GARAG~ TO aE CLOSKR THAN 10' TO ~[wAGE OISPOSAL SYST~MI TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTlL EASEMENT :iN J BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY- , FRONT 4'it SIDE INT. ~, SIDE EXT. AUTHORIZED SIGNATURE - DATE /s/ J. E. Boss or HAASJ\UClH USE CLASSIFICATION REAR C\' 8UIlN9/SANITARI~ 7 holm BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK " PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: (POST THIS PERMIT ON MAIN .BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, ,EUGENE, OREGON 97401 .;\>..1~.-9,,~;;L-'::~l7l S:;,.l}c~. ".tl: ~ .,"'...'~,:, ...htl,.<,;., ,.Ji,~..,"",. .i.,~~..,,:ij~, , ,..;. -.__ '::'~~,<>~.,.:-",..._.",,~_ c.......~,~.., .I-,,~.,,'..._ _,-,",_,.,._,_..:' : .<"'::...._,;:. New System D VALUATION {)l).oOO.oo '. DATE' PlM ., ~ >~l i " A ,. ,I SLAB FLOOR' PLUMB I,NG 'GROUNIMORK , ' '- AFPROVED / /. DISAPPROVED / / REMARK 5 GAS PiPING GROUNIMORK ., DATE ApPROVED / / DISAPPROVED ~ DATE REMARKS ROUGH PLUMB I NG' ApPROVED J;Zl Cl DISAPPROVED REMARKS ROUGH GAS PIPING' DATE >?=. 2 7.?,_ ApPROVED Cl DISAPPROVED Cl DATE REMARKS FINAL PLUMBING ApPROVED .../V / DISAPPROVED Cl DATE ?-.2-?" REMARKS .FINAL GAS PIPING ApPROVED Cl DISA~PR~VED / I DATE REMARKS '/ CERT I F.I CATE OF OCCUPANCY'" READY ,TO I SSU~ r; NDT READY TO ISSUE /. /. DATE , REMARKS r \ i ~ INSPECTOR " INSPECTOR IN~PECT~R~~ /'. {//-)/ I NSP.ECTOR ~~. I NSPECTO&__~ _ -<t V INSPECTOR INSPECTOR