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Home My WebLink AboutPermit Building 1977-08-05PERMIT #e ,7 7 TRS, T Acreage or Lot Size Contractor's O.S. # uOmments JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Blo ck APPLICANT'S NATVIE AND ADDR FSS OWNER'S NAME AND ADDRES q CONTRACTOR'S NAME AND ADDR FSS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Phone Phone Phone STRUCTURES NOW ON THE PBOPERTY rHIS PERIVIIT IS FO # B ED ROOIVIS-# PLUIVIB I NG CO NNECT IO NS WATER SUpLy- SEWAGE DISPOSAL.--- S.l. # THIS PROPERTY ISWITHIN ONE I\4ILE OF THE CITY OF- .--=-. PLUMBING BY- I hereby certify that the above sratements are true and accurate, and that I have the following legal interest in the property: -orvner of record; -contract purchaser; - potential fuy"i; -- r"utto, ol. ugent. I further certily that (if not the owner) I am authorized to act lor the owner of record, and that said owner is aware and approves ol this action. I hireby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signatu re () NEW ADDRESS FACILITY PEBI\i]IT TO TRANSPORTATION DEPT.- ( } SPECIAL PIV]T. AREA. MIN. ELEVATION: - SANITATION BUILDING Date - Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction a",nr"*, Use classification roup ire Zone By:Date By Date: PLANN ING REOUIR EMENTS SATISFIED. By:Date Date lssued ZON E:SETBACKS: FRONT SIDE FACING STREET (F ROIVI C/L)INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONNNENTAL I\4ANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE PHONE:687-4394 3=rB\ TRS, T ,utn/ t7 7**'/u 7 03 LL 0- focta Job Location BL J L, Ifritten Directions ( ) Building Permit Acreage or Lot Size- Partitioning #- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS fa OWNER'S NAME AND ADDRESS, if dif ^ONTRACTOR'S NAME AND ADDRESS INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Test holes will be ready- Subdivision Lot - Bloc e-)757? 457t-a 5z- '.7 m applicant's phoneTlrl-z/ ?z' Phone 74L -221,/ Phone 2 tt2*z/y'/ Contractors O. S. # # Bedrcrrns PROPOSED USE (this permit)\.C5\/ WATERsUPPLY(existingorploposedwell,etc.lfpublic,nameofsystem) SEWAGE DISPOSA (existing or proposed septic tank, etc.) S.l .ail permit or results of site feasibility study to ( ) Applicant ( ) Owner () Contractor.( ) Prefer to pick up. Call ( owner, etc. ) when ready. STBUCTURES NOW ON THE PROPER Rz->tdi--r7 I PROPERTY IS WITHIN ONE MILE OF CITY Z tl PLUMBING BY Address r*r***** oFFtcE usE oNLY BELOW THIS LINE *r*hl **** i ) New Address Necessary zoN tr ( ) Facility Permit Necessary SETBACKS: Front Side Facing {FROM CENTERLINE O ( ) Special Permit Area. Minimum Elevation Street F ROAD) lnterior Side Yard Rear - (FROM PROPERTY LINES) 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 I RONMENTAL MANAG EMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 tvlston I PERMIT #4q TRS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATION Partition ing Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth LANE COUNTY PERMIT ) Completed Subdivision Lot- Blo ck APPLICANT'S NAIVIE AND ADDRE OWNER'S NAIVIE AND ADDR lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Phone Phone Phone s.l. # CONTRACTOR'S NAME AND ADDRESS \A/ATER SUPPLY SEWAGE DISPOSA STRUCTURES NOW ON THE PROPERTY- THlsPEBlv]lTlsFoR#BEDRool\4S-#PLUMBlNGcoNNEcTloNL THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (if not the owner) I am authorized to act lor the owner oI record. and that said owner is aware and approves ol this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $Signature Date NEWADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIA L PMT. AR EA. MIN.ELEVATION SANITATION BUILDING Type of Construction roup -Fire Zone c",n,n",rt, Use classification \-omments By Date By PLANNING REOUIREMENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL NNANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG. pERMrr - wHrrE; BUtLDtNG - GREEN; pLUMBTNG - GANARy; sANrrATroN - GoLoENRoD; oFFrcE coprr - wHrrE PHONE: 687-4394 Date: SITT INSPECTION Ap pnov E o Rruanxs D r sappnoveo Drr E I HspecroR FOUNDATION I NSPECTION AppRov r o Dr sappnoveo Drre I rspecroR Rr uanx s FRAMING INSPECTION A ppnov r o Re ltaRx s o*t Q- >-2--7? tNSPEcroRDr sappnoveo LATH OR SHEETROCK I NSPECT I ON Dr SAPPRovED Drr r I rspectonAp pnov r o Reuanx s FINAL INSPECTION APPRovEo Reuanx s I xspecron g -,4 CERTIFICATE OF OCCUPANCY Reaov ro lssuE REuanx s D Nor Re aov ro lssuE D Darr_lusee cron_ t- D dorsAppRovEo D DorrJ/- /-{72 /--