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Home My WebLink AboutPermit Mechanical 1977-09-13,f, 3 t /'(, 8o o JOB LOCATIO Partition ing PERTVIIT # TRS, TL LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Date - CONTRACTOR'S NAIVIE AND ADDRESS Lot-- Bloc APPLICANT'S NAIVIE AND ADDR Phone-- Phone- Phone-OWNER'S NATVIE AND ADDRE lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready Signatu re l NEW ADDRESS () FACILITY PERIV]IT TO TRANSPORTATION DEPT.- ( } SPECIAL PIUT. AREA. IVIIN. ELEVATION: - STRUCTURES NOW ON THE PROPERTY THlSPERMlTlsFoR#BEDRool/]L#PLUlv]BlNGcoNNEcTloNS- \A/ATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUtVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the prop€rty: -owner oI record; -contract purchaser; - potential buyer; - 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 oI this action, I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S- SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet IVlaximum Depth BUILDING Type of Construction Use Classification Comments: roup Fire Zone uomments B Date: PLANN ING REOUI REIVIENTS SATISFIED. By B Date Date ZON E SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL IVIANAGETVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.pERMTT-WHtrE; BUtLDTNG-GREEN; pLUMBTNG-cANARy; sANtrATroN-GoLDENRoD; oFFrcEcoprr-wHtrE \ PHONE:687-4394 trqq Date lssued: RS TL- Job Location Ifritten Directions INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Acreage or Lot Size Test holes will be ready Partitioning#- ( )Completed Subdivision *o xovtnonl ro (rAAEtsrRD Lot aO Btoc ( ) Pendi TLrreE5lS C)role tLL fi AuilAing Permit APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if d ^ONTRACTOR'S NAME AND ADDRESS if t from applicant's '74--a"*lPhone Phone Phone ail permit or results of site( ) Prefer to pick up. Call feasibility study to fi Applicant ( )Owner ( )Contractor (owner, etc. ) when ready.Contractors O. S. # STRUCTURES NOW ON THE PROPER PROPOSED USE (this permit),3 (existing or proposed well, etc. lf public, name of systeml Address WATER SUPPLY KA,.[ ft]f,I hI,/\TER. D T)T. SEWAGE DISPoSAL nElo (existing or proposed septic rank, etc.I s.l PLUMBING B .pq-enoeEnTy rs wrrHrN oNE MILE oF 6s1v 1 EUI-. t 3FFWr, ) ++***** oFFlcE usE oNLY BELOW THIS LINE **.***+r*r*r / ) N"* Address Necessary ZON ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF BOAD) ( ) Special Permit Area. [Vlinimum Elevation E lnterior Side Yard Rear --(FROM PROPERTY LINES) To: Planning/Br.ritding lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 Division tnh Vt TRS, T Acreage or Lot S t7P Contractor's O.S. + APPLICANT'S NAME AND ADDRE CONTRACTOR'S NAME AND ADDR JOB LOCATIO Partition ing LANE COUNTY PERMIT ) Completed PERTVIIT # Lot- Block_ Subd ivision Phon Phon Phone- e_ OWNER'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY \AJATER SUPPLY SEWAGE DISPOSAL-s.t. # THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF. r H IS PERM IT IS FOR , # BEDROOML# PLUMBING CONNECTIONL PLUIVIBING BY I hereby certify that the above statements are true and accurate. and that I have the lollowing legal interest in the prop€rty: -owner of recordj -contract purchaser; - potential buyer; - realtor or agent. I further certity that (iI not the owner) I am authorized to act for the owner oI 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 S-Signatu re Date ()NEWADDRESS () FACILITY PERM IT TO TRANSPO RTATION DEPT.- () SPECIAL PIV]T, ABEA. MIN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING Use Classification Comments: Type of Construction '.--Group ire Zone vdmments: By By Date PLANNING REOUI REMENTS SATISFIED. B Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROtVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTI\4ENT OF ENVIBONI\4ENTAL MANAGEIV]ENT, 'I25 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATTON - GOLDENROD; OFFTCE COp\/ - WHTTEc55-1 3 I tree v: SITE INSPECTION AppRov e o R ruaRr s D r sappnoveo Darr I rseecron FOUNDATION I NSPECTION D DTsAPPRovE o 77 DrrE I HspectonAP PRov E o Rrur nr s FRAM I NG APPRov E o Rr traRx s I NSPECT I ON DrsAPPRovEo Dat e I xs pe cron LATH OR SHEETROCK I NSPECT I ON DtsAPPRovEo Drr r I NSPEcToRAp pnov r o Rru anx s FTNAL INSPECTION D r sappnoveo oorrfu-4 I NsprcronAp pRov e o ReuaRr s CERTIFICATE OF OCCUPANCY Rerov ro lssuE Reu lnx s -7 Nor Rraov ro lssur / I DrrE I Nsprcton D D