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Home My WebLink AboutPermit Building 1977-06-15TRS, T t ( ) guitaing Permit Acreage or Lot Size- Partitioning #- ( )Completed 7 tot /7 Btock-----s2-- Job Location INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( )Would like to meet on site. Call (owner, etc.) f,will be read v Subdi ma licant's Phone Phone Phone 4 / ( ) Pendi APPLICANT'S NAME AND ADDRESS 1 )WNER'S NAME AND ADDRESS, if diffc CONTRACTOR'S NAIVIE AND ADDRESS Mail permit or results of site feasibility study to )Applicant ( )Owner ( )( ) Prefer to pick up. Call ( owner , etc. ) when STRUCTURES NOW ON THE PROPE PROPOSED USE (this permit) WATER SUPPLY ^2/42 SEWAGE DISPOSA PLUMBING B () PROPERTY IS WITHIN ONE MILE OF CITY (existing or pr we ll, etc. lf public, name of system) (existing Address or proposed septic tank etc.) S.l a 7 L L/-33 J/xa 3 a. ,/L a- ( )New cessa ry ( )Facility m ZONE SETBACKS: Front To: Planning/Building lnspector/Sanitarian/Surveyor Necessarv2mCt:L4J Side Facing Street ( ) Special Permit Area. tvli ni lnterior Side Ya (F R ONNM R E This applicant appears to have a oroblem with Your assistance will be appreciated, By Permit Processing Section Response: By DEPARTM ENT O F E NV I RONN/IENTAL TVIANAG EM ENT Permit Processing Section 125 East 8th Avenue 687-4394 ,\ \t/ 0 c55-12 Division I t \ D PERIVIIT # TRS, TL..LOCATION LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # Lot- Blo APPLICANT'S NAIVIE AND ADDR FSS Phone- Phone- Phone- OWNER'S NAIVIE AND ADDRES S r.Mailpermirto{-)Applicant(}owner()contrador.()PrefertopickUp.call-(owner,etc.)whenready. STRUCTURES NOW ON THE PROPERTY- ,/r -*(r,{, I # ) Completed Subdivision CONTRACTOR'S NAIVIE AND ADDRESS THlsPERlv]lTlSFoR#BEDRoolv]s#PLUMBlNGcoNNEcTloNs--- WATER SUPPLY SEWAGE DISPOSA s.t. # THIS PROPERTY IS WITHIN ONE IVIILE OF THE CITY OF PLUN/IBING BY 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 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 $/{ 7€t Signature Date () NEW ADDRESS il FACILITY PERIVIIT TO TRANSPORTATION DEPT l SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Date BUILDING Type of Construction Use Classification Comments roup Fire Zone Comments By By Date PLANN ING REOUI RETVIENTS SATISFIED By Date Date lssued LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL |\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687 4394 POST THIS PERMIT ON MAIN BUILDING AT sITE c55-13 ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) 1/flfm PERIVIIT #7 TRS, T JOB LOCATIO Partitioning tu-7 -t? o AcreAge or Lot S OWNER'S NATVIE AND ADDR LANE COUNTY PERMIT 1?-tyg t- jB ) Completed Subdivision Lot-- Bloc APPLICANT'S NAIVIE AND ADDRESS Phone Phone PhoneCONTRACTOR'S NAME AND ADDRESS lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY , THIS PERMIT IS FO # B ED ROOIVIS-# P LUIVIB I NG CO N NECT IONS WATER SUPPLY ,' SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNEN/llLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner ol record; -contract purchaser; - potential 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 of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S- ( )NEWADDRESS ()FActLtryPEBMtrrorRANspoRTAT|oNDEpr.-( ) spEctAL pMt. AREA. t\4tN. ELEVATToN Signature SANITATION BUILDING Comments lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet IVlaximum Depth Type of Construction se Classification roup -Fire Zone Comments B Date By Date lssued:PLANN ING REOUI REMENTS SATISFIED By Date ZONE: SETBACKS: FBONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROI\4 P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL N/IANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.PERMtT -wHrrE; BUTLDTNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-GoLDENRoD; oFFrcEcoplr-wHrrE PHONE:687-4394 Contractor's O.S. # - Date Date: SITE INSPECTION AppRovrD R Euanx s Dr sAPPRovEo I ruspecton FOUNDATION I NSPECTION AppRoveo Rri,rlnxs Dr snppnoveo Dar e llrspe cron FRAMING INSPECTION APPRovEo Rr uanx s DrsAPPRovEo D oor,_?-{-_2j_I NSPEcToR LATH OR SHEETROCK NSPECT I ON Ap pRov e o DI SAPPROVED oorr-6 -'g -7flNS P E CTOR Rrurnx s FINAL INSPECTI AP PRov E o Reuaax s Drsrppnoveo D Dar I rusprcton REuanx s Drr e D D*, f-S-??-{o" ,12- lq-gz CERTIFICATE OF OCCUPANCY Reaov ro lssuE D Nor Reaov ro lssue D I NSPEcToR_ Trns JOB LOCATIO Partitioning # LANE COUNTY PERMIT ) Completed Subdivision PERTVIIT # Lot- Block OWNER'S NAIVIE AND ADDRESS Acreage or Lot Size Contractor's O.S. # APPLICANT'S NATVIE AND ADDRE CONTRACTOR'S NAIVIE AND ADDRESS Fee Paid $- Phone-----------------.---..----.------.-- Phon Phone-----------....-.---.-----.----.--.-.-_ ,ail perrnitto ( )Applicant ( )Owner STRUCTURES NOW ON THE PROPERTY ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready \^JATER SUPPLY SEWAGE DISPOSAL THIS PERI\4IT IS FOR # BEDROOIV]S-# PLUIV]BING CONNECTIONL THlSPBoPERTYlswlTHlNoNEl\4lLEoFTHEclTYoF-.PLUMBlNG I hereby certily 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 lurther certify that (if not the ownerl I am authorized to act for the owner oirecord, and that said owner is aware and approves of this action. I hereby agree to comply with all apgllcable Codes relating to this permit. s.t. # __ Date =---*=--Signatu re( )NEWADDBESS FACILITY PEHMIT TO TBANSPORTATION DEPT.- ( } SPEqAL P[4T. AREA. MIN.ELEVATIoN:..-._- Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth -- rYPe or const8,lli?i**. GrouP Comments: ire Zone Comments x t B Date:B Date: P LANN ING REOUI R EIVIENTS SATISFI ED By:Date Date lssued ZONE:SETBACKS: FRONT SIDE FACING STREET (F ROM P/L LANE COUNTY DEPARTMENT OF ENVIRONMENTA L MANAGEIVIENT, 125 EAST 8TH AVE.. EUG ENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLOG. PERMIT - WHITE; BUtLDtNG - GREEN; PLUMBTNG - CANARy; SANTTATTON - cOLDENROD; OFFTCE COp\/ _ WHTTEc55-13 lLG--fr (FROIVI C/L) INT. SIDE YARD REAR \ /) ?/raat*STAB FLOOR PLUMB ING GROUNCI^/ORK ,^,,6/t{zz RLAPPRov E o REraRx s E I rspectoe GAS PIPING GROUND/ORK D Di'sappnovr o D Dar r I HspecronAPPRov ED Reua nx s ROUGH PLUMBING DrsaprRoveo I Hspecton nbdn o*,-f/Z/z/7APPRovED ReuaRxs ROUGH GAS PIPING Ap pnov E o ReManx s D r sappRoveo Drr r I Nsprcton FINAL PLUMBING APPROV E O Rruanx s DI SAPPROVED D oo,,JZ)T?J I NSPEcToR FINAL GAS PIPING Ap pnov r o Rrxa nx s D r srppnoveo Dare I useecron CERTIFICATE OF OCCUPANCY Rraov to lssue Reuanxs /-7 Not Rrrov ro issuE - !--, Dare I NSPECTOR Drsrpenovro D D -----