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Home My WebLink AboutPermit Building 1977-11-28,;) */ TRS, TL Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDR JOB LOCATIO Partition ing LANE COUNTY PERMIT ) Completed Subdivision Lot-- Bloc Phone- 4 CONTRACTOR'S NATVIE AND ADDRESS OWNER'S NAME AND ADDRE ss Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Phone Phone STRUCTURES NOW ON THE PROPERTY # B ED ROOIVIS-# P LUIVIB I NG CO N N ECT IO NSrHIS PERMIT IS FOR \IJATER SUPPLY , . ,, i SEWAGE DISPOSAL S.I. # THlSPRoPERTYlSWlTHlNoNENnlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate. and that I have the lollowing legal interest in the propertyi -owner oI record; -contract purchaser; - potentiat buyer; - realtor or agent. I further certily 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 atl applicable Codes relating to this permit. Date - Fee Paid $Signature il ruTW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION 8U ILO ING lVlinimum Septic Tank Capacity (Gallons)Type of Construction roup ire Zone Drainfield Required - Lineal Feet Use Classification Maximum Depth Comments r-OmmentS ' )/u ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL TVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERVIIT ON MAIN BUILDING AT SITE c55-1 3 BLDG. pERMrr - WHrrE; BUTLDTNG - GREEN; pLUMBTNG - GANARy; sANrrATroN - GoLDENRoD; oFFrcE copy - wHrrE PHONE:687 ',,!bl . a\r" 1 ,' ._,jl r: ;'r_r. .) ,,:,,..'.,..'",1, :.:' ( l Date PLANN ING REQUI REMENTS SATISFIED. Bv: Date: Date lssued:Date: TRS, T Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRES CONTRACTOR'S NAME AND ADDRESS JOB LOCATIO Partition ing LANE COUNTY PERMIT ) Completed Subdivision Lot ,.. Block /'7Phon Phone-. L,Phone- Mail permitto ( )Applicant ( )Owner ( ) Contractor. ( ) Plefer to pick up. Call";'r /1 (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY .' ., TH;SpEBMIT 1966g . .',', ).r,./ ...i ..'i.', . .. ., .. ..;--,. . # BEDROOML# pLUt\lBlNG CONNECTTONL wATe n suppLy "'1i''. ''l - SEWAGE otsposeL ' t" " "/ s.t. * THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby c€rtily 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 lunher certily that (if not the owner) I am authorized to act for the owner of record, and tha(said owner is aware and approves ot this action. I hereby agree to cor-r]ply with allSpplicable Codes relating to this permit. Fee Paid $-Signatu re Date I NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT ( )SPECIAL PIVIT. AREA. lvllN. ELEVATION:--- SAN ITATION BUILDIN Comments: G f ygg4.l.,$lnstructionMinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth roup ire Zone\*se Classification k*rTNS*E"b Dfif,WthlG I hltffALt.ArTto N REQII\R€ Comments tlr lDate Date: Date lssued: IPLANNING REOUI REMENTS SATISFIED. By l---,L-Date: .t B ZON E SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PER}VIIT ON MAIN BUILDING AT SITE C55-13 BLDG. pERMtr - wHrrE; BUtLDTNG - GREEN; pLUMBTNG - cANARy; sANrrATroN - GoLoENRoD; oFFrcE coPY - wHtrE Lf' PHONE:68 (:394 tree ( ( ) v{6c, TRS, TL /z-oe -22 written Directions o Location INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites lo contractors o. S. # ljq(3 ( ) Building Permit Acreage or Lot Size- Partitioning #- ( )Completed Test holes will be ready ( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if dif m appli t,S -CNTRACTOR'S NAME AND ADDRESS ,ail permit or results of site feasibility study to ( ) Applicant ()Owner (X) Contractor ( ) Prefer to pick up. Call ( owner, etc. ) when ready. STRUCTURES NOW ON THE PROPER PROPOSED USE (this permit) PLUMBING B () PROPERTY IS WITHIN ONE MILE OF CITY Subdivision Lot - Block- Pho ne Phone Phone WATERsUPPLY(existingorproposedwell,etc.,fpUblic'nameofsystem) SEWAGE DISPOSAL (existing or proposed septic tank. etc.) S.l. L Address ****r** oFFlcE usE oNLY BELOW THtS LINE *r*r+***rlr*| t ) New Address Necessary ZON ( ) Facility Permit Necessary SETBACKS: Front Side Facing (FROM CENTERLINE O ( ) Special Permit Area. Minimum Elevation F lnterior Side Yard Rear - (FROM PBOPEBTY LINES) Street F ROAD} To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENV IRONMENTAL MANAGEMENT Permit Processing Section 125 East Bth Avenue 687-4394c55-12 D ivision 7 5F 3ft7-77 TRS, TL l 7-oi - >>,=zlao Job Location {4/ l^Iritten Directions Oor"-u il- 7* fvt ^11 ^- A 'T-o 0 P?^ r--^^t r2T t rPu "T\ @ rzZ ( ) guitOing Permit Acreage or Lot Size Partitioning #- ( )Completed( ) Pending INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Test holes will be ready- Subdivisi Lot -- B loc P D aR- ?4"/)"'L 54- Contractors Phone Phone 74 b -?,-ru Phone ??& -7 6 ?f o. s. # /?7 t7- APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if dif from a licant's CONTRACTOR'S NAME AND ADDRESS ? ril permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor r ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERT PROPOSED USE (this permit) WATER SUPPLY () PROPERTY IS WITHIN ONE MILE OF CITY existi or oposed well, etc. lf public, name of system) O o SEWAGE DISPOSAL (existing or proposed septic tank, etc.) S.l PLUMBING BY Address r***+r.. oFFlcE usE oNLY BELOW THIS LINE,**lrlr*r*r*r ) New Address Necessary ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD} ( ) Special Permit Area. Minimum Elevation adN E lnterior Side Yard Rear --{FROM PROPERTY LINES} To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENV I RONMENTAL MANAGEMENT Permit Processing Section '125 East 8th Avenue 687-4394c55-12 D ivision ) TRS, TL JOB LOCATIO Partitioning LANE COUNTY PERMIT Acreage or Lot S Contractor's O.S. # ) Completed Subdivision Lot- B lnnk APPL|CANT,S NAME AND ADDBESS Phone- OWNER,S NAI\4E AND ADDRESS PhONC- CONTRACTOR'S NAME AND ADDR FSS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Phone-- STRUCTUFES NOW ON THE PROPERTY rHlsPERl\4lTlSFoR#BEDRooML#PLUMBlNGcoNNEcTloNL \IJATER SUPPLY SEWAGE DISPOSAL S.l. # TH IS PROPERTY IS WITHIN ONE I\4ILE OF TH E CITY OF-. PLUMB ING BY -- I hereby certily that the above statements are true and accurate, and that I have the lollowing legal inlerest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I ftrrther certify that (if not the owner) I am authorized to act for the owner of 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 $-Signatu re Date { )NEWADDRESS () FACILITY PERIUIT TO TRANSPOBTATION DEPT.- SPECIA L PMT. AR EA. MIN.ELEVATION SANITATION BU ILD ING lVlinimum Septic Tank Capacity (Gallons)Type of Construction -Group -Fire Zone Drainfield Required - Lineal Feet se Classification Maximum Depth Comments -omments: By Date By Date: PLANNING REOUIREMENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FAC]NG STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL NNANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERNIIT ON MAIN BUILDING AT SITE c55-13 BLDc. pERMrr - wHtrE; BUtLDtNG - GREEN; pLUMBTNG - GANARy; sANtrATroN - coLDENRoD; oFFrcE coPY - wHtrE PHONE: 687-4394 SITT INSPECTION Appnov r o Rruanx s DtsappnovrD Dare I NspEcton FOUNDATION I NSPECTION AppRoveo ReManxs D Drsappnove, n Drrr I Nspecton FRAMI NG AppRovEo Reuanx s I NSPECT I ON Drsrppnovro D Datr l nseecroR LATH OR SHEETROCK Aepnovro RExanx s I NSPECT I ON Dr saPPRovEo I xspecton FINAL INSPECTION Appnov r o Reuanx s Dr slppRovro o^rr lZ:a:71 I Nsptcroa CERTIFICATE OF OCCUPANCY Rraov ro lssuE n Nor Rraov ro lssue D RemaRx s Drr e I ruspecron D Dorr- TRS, T Acreage or Lot S Comments: t7c JOB LOCATIO Partitioning # LANE COUNTY PERMIT Contractor's O.S. # APPLICANT'S NAME AND ADDR trqq OWNER'S NATVIE AND ADDRE ss CONTRACTOR'S NAIV{E AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ) Completed Subdivision Lot- Block- Phone Phone Phone (owner, etc.) when ready STRUCTURES NOW ON THE PBOPEBTY THlsPERMlTlSFoR#BEDRoo[4s-#PLUlv]BlNGcoNNEcTloNS- \I/ATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNEMll-EoFTHEClTYoF.PLUtVlBlNGBY I hereby certily that the above statements are true and accurate, and that I have the {ollowing legal lnterest in the property: -owner oI record; -contract purchaser; - potential buver; - realtor or agent. I {urther certily that {if not the owner) I am authorized to act lor the owner of 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 $-Signatu re Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.() SPECIAL PIVIT. AREA, IVIIN. ELEVATION:=- SAN ITATION B UILDIN G Type of nstruction -Group -Fire ZonelVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth \I s Use Classification Comments:t vt I Date:By Date P LANN ING R EOU I R EIVI ENTS SATISFI E D By:'t Date Date lssued ZON E SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIBONMENTAL MANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687.4394 POST THIS PERIVIIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUtLDtNG - GREEN; PLUMBTNG - CANARY; SANTTATTON - GOLDENROD; OFFTCE COp\/ - WHTTEc55-1 3 trcq Bv: SITE TNSPECTION Appnoveo D Dtsappnovro D RruaRxs DarE I Nspecron FOUNDATION I NSPECTION Appnoveo ReulRxs DrsaPPRovED Dare I ruspecron FRAMI NG AppRov r o Reulnx s I NSPECT I ON D r slppnovro D Darr I NSPEcToR LATH OR SHEETROCK AppRovro Rruanx s I NSPECT I ON DTsAPPRovE o F7 Drre,I Nspecton FINAL INSPECTION AP PRov E o Reuanx s oorj2-7'? 2tNSPEcroRDrsrppRoveo CERTIFICATE OF OCCUPANCY REaov ro lssuE Reurnx s Nor Reaov to lssue D Dorr-I NsPEcroR