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HomeMy WebLinkAboutPermit Mechanical 1985-08-08bneccr-rty ACTIVI'I Y INFORMATION ST,EET COMPLETE IHIS SECTION. INCOMPLETE FORMS t.JILL BE REJTCTEDI ** FOR STAFF USE ONLY **NUMBER DATEZONE/LAND USE BY: _DATE: TIME IN: - OUT: 4 ,(,(ll I ? 7* 5 7u7-?5 7 E ffi /_L1_EJ2;_ HOME TELEPHONE #BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS ( TF DIFFERETT TnO (from tax map or from tax s in Department of Assessment and Taxation statement)2I ffi ZONING m[Nsmp 6NGE mTr[N ffi ZONING MINSHTP N-ARGE SEETTON ffi ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OI,JNERSHIP:ACRES 4 SUBDIViSI0N ( if aPPl icable) 3 rvrae 6i PAHE EL NUMBEFT ( REQUIRED INF0RI,IATIoN) 5 REQUEST (s:tate exactly what you plan to do) t1 3 2s, TOWNSHIP RANGE SECTION 23 oc LOT BLOCK t* e*, J. 9.pr-.r*-r-T0 SITE: I LAe&LL\".r il,*r*a6 DIRECTI r-fl 16.,4wrr LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I I 687-4061 ilu! ycq q(l u rv,Hatrnr. 5c( oN\a M PROPERTY OilNET- I l' t MAILING ADDRESS PERSON MAKING REQUEST 2t ? t4 *AXu 0r*" "l,,+LA I i,. Z TRS#ll-o 5-'7{'z'I +77 DATE ISSUED:PERMTT# /?4 7'As Ot^tNER,S NAME PM CONTRACTOR'S PHONE NUMBER BACK REQUIR FRONT S SIDE # PLUMBING FIXTURES I NTER I OR REAR K THORI SDS APPRO\IAL REQUIRED SiTE ADDRESS F00TrNG / FoUNDATT0N trApproved Date /MOBILE HOME PLACEMENTf] INSPECTION Correcti on Date Insp ector PLUMBING GROUNDWORK INSP ECTIONApproved Date Correcti on Date Ins pec tor UNDERSLAB PLBG. f] /UNDEApproved Date RFLR PLBG. E INSPECTION Correcti on Date Ins pector OTHER INSPECTIONApproved Date Comecti on Date Ins pe ctor ROUGH PLUMBING (TOP OUT) INSPECTIONApproved_Date Correcti on Date Ins pe ctor FRAMING INSPECTIONApproved Date Correcti on Date I nspector ROUGH MECHANICALApproved Date Correct'ion Date Inspe ctor iNSULATION / VAPOR BARRIER INSPECTIONApproved Da te Correcti on Date Inspector LATH / GYPSUM BOARD INSPECTiON Approved Date Correcti on Date I nspe ctor Approved i,,/ Date orrectibn y' ou te nsp ector FINAL PLUMBING INSPECTiON Approved_Date Correcti on Date Ins pector mrLDrNG D /M0BrLE HOME [] /AG PLACEMENTI] Approved IDate Correction Date_I ns pector M74-L97 proved_Date Insp. Tr-CERTIFICATE OF OCCUPANCYtrApproved Date-------lnsp. PORARY CERTIFICATE OF OCCIJPANCY SE C1 ,w 4,.gwJr- t*r-{* (-, rb',p }r" ril 6r"I / * L_ /)fr -t-.------- i I I / -)7) I t a 't l?-,r-,