HomeMy WebLinkAboutPermit Building 1978-03-13TRS, TL
JOB LOCATIO
Partitioning #
LANE COUNTY PERMIT
) Completed Subdivision
Acreage or Lot Size
Conaru"*ot's O's' +
Lot-Block-
Phone
APPLI CANT'S N AME AND ADDR
OWNE R's nnug AND ADDRE qq
CONT FACTOR'S NAME AND A DDRESS
Mail Pe rmit to () Applicant ()Owner ( )Contractor ( ) Prefer to Pick uP. Call
Phon
Phone
(owner, etc.) when ready.
' ,*ts PERMIT ls FoR
STRUCTURES NOW ON THE PROPERTY
\AJATEB SUPPLY
THIS PRO PERTY tS WITHIN ONE TVIILE OF THE CITY OF
# B ED ROOIVIS-# PLUIVIB I NG CO NNECT lO Ns
SEWAGE DISPOSA'
PLUIVIB ING BY
and that I have the following legal interest in the property _owner of
for the
record
owner o f
Signatu re Date
s.l. #
I herebY cert ify that the above statements are true and accurate,
contract P urchaser; --potential buYer ; ' realtor or agent I further certifY that (if not the owner) I am authorized to act
record , and that sa id owner is aware and aPProves of this action. I hereb y agree to comPlY with all applicable Codes relating to this permit
Fee Paid $
)NEW ADDRESS ()FACILITY PERMIT TO TRANSP ORTATION DEPT.=- il SPECIA L PtVrT. A R EA. tvllN
BUILDING
SANITATIO N Type of Construction -=--GrouP
ON
ire Zqn.
Minimum septic Tank capacity (Gallons)
Drainfietd Required - Lineal Feet
Maximum DePth
se Classification
Comments
Comments
Date:B Date
B Date D I ssued
PLANN ING EOU IREIVIENTS SATISFIED. B
ZONE S ETBACKS: FRONT.SIDE FACING STREET (FRON4 C/L) INT. SIDE YARD REAR (F RO MP Irt
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEMENT' 125 EAST BTH AVE"EUGENE, OREGON 97401 PHON
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLoG.pERMtT-wHtTE; BUtLDtNG-GREEN; PLUMBtNG-GANARY; SANITATIoN-GoLoENRoD; oFFlcEcoPY-wHlrE
c55-1 3
687 .4394
,.ill.E [0HsTalI[TlIlh e[I.
1846 PEARL STREET EUGENE, OREGON
o
PHONE
48+9999
Call Collect
WATS PHONE 800452.6585
Quote
Good
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Metal Clad Buildings
Designed and Erected
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Estimate and Proposal Date
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Address:
City
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TRS, TL {:
Subdivision
Lot
L--Job Locatlon (Addr
Permit
Permlt
Permit
For
For
Pernlt #
Perml,t
Permlt
ForPIGDt Plan lt For
For For
Block
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5trc2 Job Location
Permlt
Permlt
Permlt
TRS, TL
Subdivision
Lot
Plot PIan For
For
Permlt /l For
Permit #--For
Pernit For
ltz'
s
PEO,@,5€O
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TRS, T JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot Size- Partitioning #) Completed Subdivision
Contractor's O.S. +Lot- Bloc
APPLICANT'S NAME AND ADDR FSS Phone
Phone
Phone
OWNER'S NAME AND ADDRE
CONTRACTOR'S NAME AND ADDRESS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
THlSPERMlTlSFoR#BEDRoolvtS-#PLUMBlNGcoNNEcTloNL
\IJATER SUPPLY SEWAGE DISPOSAL s.l. #
TH Is PRoPEBTY IS WITHIN oNE Iv] ILE oF TH E CITY OF-_-. PLUMB ING BY
-_--
I hereby certily that the above statements are true and accurate, and that I have the {ollowing legal interest in the property:
-owner
oI rccord;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certily that (if not the owner) I am authorized to act for the owner o{
reclrd. and that 9id owner is aware and approves of lhis action. I hereby agree to comply with all applicabie Codes relating 10 this permit
Signatu re Date
()NEWADDRESS ( } FACILITY PERM IT TO TRANSPO RTATION D EPT.- () SPECIA L PMT. AR EA. I\,/]IN- ELEVATION:
-
sANrrArroN BUTLDING :iiHiY SPECIAI i;r;ir'i.iT
Fee Paid S-
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Type of Construction ----GrouP
Use Classification
Comments:
ire Zone
t,
Comments
By:Date Bv Date
PLANN ING REOUIREIVIENTS SATISFIED. B Date:Date lssued
LAN E COUNTY DEPARTMENT OF ENVIRONMENTA L MANAGEI\4 ENT, 125 EAST 8TH AVE., EUG ENE, OREGON 97401 PHONE: 687.4394
POST THIS PERMIT ON MAIN EUILDING AT SITE
c55-13
ZONE:SETBACKS: FRONT stDE FACING STREET (FROM C/L)tNT. S|DE YARD REAR (FROM P/L)
S ITE INSPECTION
Ap pRov r o
Reuenxs
D D^-,, 7-23-7yDrsnppnoveo I HspEcron
FOUNDAT I I
Appaov eo
FRAM I NG
AppRovro
ON I NSPECTI
I NSPECT I ON
DrsAPPRovEo n Dare
DrsappRovro D
I Nspecron
d€,"R
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L
lHspecloa
3-zP
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LATH OR SHTETROCK
Appnovro
Reurnxs
I NSPECT I ON
Dt srpenoveo Dar r I Nspeclon
FINAL INSPECTION
Appnoveo
Reuanx s
D oo,,_y'-/._y'- ZtDtsappeoveo I Nspecron
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
ReuaRx s
D Nor Reaov ro lssue D Dore_I ruspecron
5/ooiOQq:ak4l@ 55\-\e)
,tHs,1i Job Location /oss L. r/)4;9
lfr,rtten Directions
D6ritoins permit
Acreage or Lot Size 7 a,s.F.
Partitioning#- ( ) Completed( ) Pendi
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS, if dif ferent from ppl
SEWAGE DISPOSAL
PLUMBING BY
I PROPERTY IS WITHIN ONE MILE OF CITY
Subdivision Lot _ Bloc
+A
FORMATION SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites_
Test holes will be ready
nt's
(existing or proposed septic tank, etc.) S.l
Address
v
Phone
Phone
Phone
4r4-qqq7747-4/05
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to D{ Applicant ( ) Owner ( ) Contractor /o477
Concraccors O. S. fr G@( ) Prefer to pick up. Call ( owner, etc. ) when ready.
STRUCTURES NOW ON THE PROPE
PROPOSED USE (this permit)
4.\/\-J
WATER SUPPLY existing or proposed well, etc. lf public, name of system)
**r**r* oFFtcE usE oNLy BELOW THtS LINE ***r+r**+.+r*
()N rY ( ) Facility Permit Necessary
SETBACKS: Front Side Facing Street
(FROM CENTERLINE OF ROAD)
B
( ) Special Permit Area. lVlinimum Elevation
lnterior Side Yard
-
Rear
{FROM PROPERTY LINES)
ZONE
To: Planning/Building lnspector/$nitarian/Surveyor.
This applicant appears to have a problem with-
Your assistance will be appreciated.rtf si Permit Processing Section
By
DEPARTMENT OF ENV I RONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
D ivision
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_.--+.lt' -,'<a Job Locatlon (Addre /)
Permit
Permlt
Pernit.
For Permit #
Peruit
Pennlt
ForPlot Plan lt For For
For For
Subdivision
Lot Block
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