HomeMy WebLinkAboutPermit Building 1978-09-09\ocV[
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Acreage or Lot Size
Contractor's O.S. #
WATER SUPPLY SEWAGE DISPOSAL
) Completed Subdivision
Lot Block-
Phon
Phone--
Phone-
s.r. #
22,1.9
JOB LOCATIO
Partition ing
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
,t 57
LANE COUNTY PERMIT
APPLICANT'S NAME AND ADDRE
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
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THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUtVlBlNGBY
I hereby certify that the above statements are true and accurate, and that I have the lollowing legal interest in the property: owner of record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certily that (if not the owner) | am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to mmply with all applicable Codes relating to this permit.
Fee Paid $Signatu re Date
() NEW ADDRESS ! FACILITY PERIV]IT TO TRANSPORTATION DEPT.- SPECIAL PIVIT. AREA. IVIIN. ELEVATION
SANITATION BUILDING
Type of Construction G roup
-F
ire Zone
c"-r."t,
Use classification
uOmments
By Date By:Date
PLANN ING REOUIRENIENTS SATISFIED. By:Date Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGET\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1
POST THIS PERVIIT ON MAIN BUILDING AT SITE
C55-1 3 BLDG.pERMTT-wHrrE; BUTLDtNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-coLDENRoD; oFFrcEcoprr-wHtrE
PHONE:687-4394
SITE INSPECTION
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FOUNDATION INSPECTION
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CERTIFICATE OF OCCUPANCY
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