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HomeMy WebLinkAboutPermit Plumbing 1977-9-12 ~ , , *'00 TflS,TI 17-0'3-2-4,-'-1,1 ' i" -.f.~ v Plot~'fan ~~~~~~ ~'-;rr~ . c, / ~ .~<:>~~~~ c." '{';- ..~. 'v'v'Q\. ' f\,.. ~ .. ~~. .~~~. .,:'- ,,.... 'l' "I" ~ "t'\ " ......,;, 0 . .0-- vtL- ., i ~w '\',~~~ '< ~ 1 V j . -d {,~ ~ ro ~ ~ c >- co ". \C. ~ ~ - ~ ) III L "Cl "Cl ,- )jl <! ~ ,~ V) - ~ ~ ro ul :;; a - ~ 2 ~ III E ~ ro Z '2 ~ J If) ..... OJ c 0 !() ro Q u I,) t- o. ....J C\I c[) 0. <! "V Job Locatio~ (Street, mile post) ,,,';2~(Q;!'5~:;_e~'Y-PE:-~'~'~:~:!?f--6\=:'~1%.-:>;"'''~DE~"'1' Subdivision Lot Block FOR SANITARIAN'S USE ON L Y: ,~yste~ APProv~d 0 System Disapproved 0 Needs Correction COMMENTS: , Signature:~ ~p.., ~ DateC,:.r6-7? FOR INSTALLER'S USE: Trench Depth 2.2 ':-::\2 v Fille~th Below Ti&l' /.," Tank Capacity / 500 Manufacturer WI L 1_ A. -N\ E"\'\: ' G RP'''I STO~ . GC~M.....t.hT"Y Measured distance to well from tank -----3>-f~T"'<:'"^ from drainfiel'" H~'/t>€N C3J2,o&E ~A-P . "" 0;;,0>- Q1>~ ''7 ~.1j~" ,./ ,'\' . . I ""'-\ - "'-.>,, "''-'" ""- . "- ...... .......... "" --<t.5 " ~ ...... \'l!lP.... "'<(l ~ "........ 9\ le ....... . . ---'I 3S t- -'::---.-....--:-::-. '-~- '~ . '-.~~--.~. ' " 0 "'....... _ , _ ~_ . , ...~, .............-- ._ ___h5''t__"._-*'_.._____~ - -~_~~. I ~. / ~ . . . 16, ;// ,I ,I. Q^ ;. ,- ?f ______Jl.__.7J<<..., -~----.:_-----'J<"-~'~--l , , , II 1\ ~ ' J FF-Nc.-: P<>.op!;:A.Ty L.II\I'? INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION When signed by the" County Sanitarian, tliis certificate is evidence as p~r 0 RS 454,665 of sat,' isfactory completion of a subsurface sewage disposal system at the above location, ~ '3:4 t-.. \'- ,1,0' t"- I[J, ~ "'- ~ ' ~, . N Hc",~e. ':--23 ,I-I' ,.-if , '~l --i ' . hi , I ;; -:;a~, . , 'llJ ><6 SEP;-'t:. -:'-~f'J'" " , Scale: I-:::zo Return this form. to: 1)':>'1: 00<(' 8"3 - '-I-'''O'''~\'>~ - t'~... ~ ....,L-,1'IL. w.T>l 5.oG 0;: " ~A-s;" Hc~s-a. ,~I ) ,J ~ f " c Permit Processing Section, Department of Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 97401 ,.,' ,..;-' C55-11 ,1-./.., ) ",- ~, :tY ,..~ d :':.l-~ 17-:)3-24 .4.1 TI.,1l00 , ~ -- '/~ !-'--~. ~ JOB LOCATION ," lLi\rnL.:l B;::'IDG~ ill> SPRIHGFIELD \" .~.\,\ PERMIT # '" ~', ORl::GO,j 9141/ ,.,......1 \'\ ~ ',,' ... - ,.. , r ,:;: d TRS;'TI ,~' . ~ ,- , . ...\" h l~ ,,, t ,-. ?" " ~;" f ~' fUlJ'3-/l LANE COUNTY PERMIT ^ Partitioning 4' ) Completed . t 170 R 200 Acreage 'or Lot Si7a Contractor's O,S, # Subdivision Lot ',~ Block " " .' ~, J'. '{oj'. j , APPLICANT'S NAME AND ADDRES~ OWNER'S NAME AND ADDRF~~ CONTRACTOR'S NAME AND ADDR~~~ Mail permit to (X ) Applicant ( ) Owner LIUl(1 R SHILLn,G. 2733 North 218t Spr;Dsf1eld Ore~OD Phonp f>'" / ~.....x Phonp SDr1rinftil~ O-relalfu.- Phone -/ (owner, <:;tc,) when ready, 746-6103 , ,'J '~TRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR DW::~:~~G.~~O?~~.ft:-. Garage -'~\ol'U V"'J,~,.. <aJ;TfQ1wc...'-".. SlI!Il2 BURT WATSOU 1861 Yenta ) Contractor, ( ) Prefer to pick up, Call llB'rAL SlnID <=7' ," . 'D~-'? ,'. >' " . , 'fr (.', , J<I, -, . '" ~ -." ..J WATER SUPPLY RAIl<BO:1 'dATER DIll! 616 sq. Deck 688 aq. , ~u;:;> SEWAGE DISPOSAl # BEDROOMS~# PLUMBING CONNECTION~ -:J:' -- '<-\ '\ - '\'"\ \ \::;. , S,I. # ..A . PROPOSED f' , t THIS PROPERTY IS WITHIN 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 record; contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the owner) I am authorized to ac! for the owner of record,' ~~ ~~~! sai~ owner}, aware and, approves of this action, I hereby agree to C,~with,a~ll;apPlicab~e Codes relating to this per/,",'it, . ..Ji;) \'tl,\ ~I'\ ...-...~~ t - - '1-4'-1"" .. ., 7-' Fee laid $ , '~ \. . ~ \.,:, '.' (:\.~ Signature." -, ,Datp l :. '''i ' (Vi NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, () SPECIAL PMT, AREA, MIN, ELE.\'lATION: SANITATION BUILDING ___ ._' / c:-O Minimum Septic Tank Capacity (Gallons) 5,j Type of Construction .1 ' .' Group J .... Drafnfiefd Required - Lineal Feet ')-..- /', ":. -. -.. 1'58 Classification .:; r .:' Maximum Depth C;':- -r...~/"'-' 7 Comments: ' .:} .J ,. " ^ <,r, f. ~~ ,"" " '"'-, :( Fire Zone , ..' .~ , .. p. ~' , Comments: , .r",",_.;. '. _.'> ,,:::f. "",.... .',1,. '/~ .',......->(._.-1..._ ~. ~ . ';; .];1 } ~ ~ .--', .' ..v.....,. _' "I . iJ _"-'J\'_' ',' '- . ,~ .~ '.~ , f~ - .-' ',- '--' . ~-;(., ,'. +' ',-1 ~ , '. ~ ~.. ~ ,- ~ By: ...' Date: "~/'-~")7 BY:(j/I~."...-r'd- /~.'4_'--"<___~."Date: -7-.~- 7-"7 PLANNING REQUlREMENTS SATISFIED, By:'"---':",,, " ' '.... Date:~ \ ",~, \ Date Issued' '7-;-/.;.7/ ZONE':- '~....:..' \ SETBACKS: FRONT \..\'--{ SIDE FACING STREET (FROM C/LI INT', SIDE YARD~ REAR~ (FRO'M P/LI .- -\ ;1" . r " '~ ,t '~ " . LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394 C5S,13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG, PERMIT - WHITE: BUILDING - GREEN; PLUMBING - CANARY: SANITATION - GOLDENROD: OFFICE COPY - WHITE ~ "? /. ;7,.';;;"0' "3'11."," #j-'i~;L".,'i/~iJ\'i'~I';_"".'. l'<~' ',' ~~~~;;t1i:;'i7;:.J~:-.. ~. '_ "-K~J. '~~~g 'zo;-r;'r ..... . ,,"t'ifS:.~: . "t..:t-) " ::' '~~ '.... - i; \ .j~,;:'\J" .... ," 'J~b"i.;;';;"~~i~~ (jdress) ~~'" ~~r", p"'ermit II\--\'\-\.'-'-'~~For ~\' -e -~~~ Permit II \ln~H, ,,'1'1 For~~-f>\ ~, """ Permit II ' For -..> "I, . ~ 'f:~.!;'. .t!SIf..~ '\-t.~--io,:,.}...~~, r"'- ~'Y'. - ~.~~,. (~iZ,.; :;,;~J . ":::S'" . ~ f\, ~'..,. fJ.-C'''1~:.:-.~~ F~ II ~,_ For o "':"'';<<~ "r;', For --~A' . ~:~i'~~i: N~' " Permit ~Permit Permit . _ ."'~,.. . ,",' . ". ~:'~: '.' , .""-:.' ~~""';;'~~ \J!g~~~~' ..~' .ea' ,',' . ~. " -~- . '.',. .. . .-. ;" " . . '..... .. . ;.ti:- .. ..';}I , ... -;';\~;I~' 'J-~~-t' - , '. ~7;\-;~~'~'~~_'~~>'~';' ::","""""'" 7lJ;-'ti" ~'0if{l1 ..,~_:;~~*~tif~11:~~~~ ~~~~:;~Wfi~~~r4~~f " "",~~'. '~. It~;~: .. ~~ '. '~:J~\ ,.- . '.. -:-J;~A~'~!~'~;' .,.. . . . '.~' ~ ~, . ~: 1~~~!~ 2-\::,1. '"',, ~~ 'J,~ ,:l{. C74-150 1-:,