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HomeMy WebLinkAboutPermit Plumbing 1976-09-14n Owner LANE COUNTY PERMIT FOR:PERIV IT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVl E ADD RESS CITY ZIP CODE PHONE D Contractor ADD R ESS CITY ZIP CODE Range-- Section-Tax Lot- Code-Census Tract Lot B lock Acreage .==--Width DepthAccess to Property (Road Name) NAIVIE PHO NE O.S. Reg. +* T Subdivision Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[]orHER [ ] PLUIVIBING INSTALLED BY: owNER[] OTHER[] NAtVr tr BUILD ING --. PLUIVIB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COIVINlUNITY NAIVIE PRIVATE WELL OTHER SPECIFY .lf I CONSTRUCTION PEBMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH D EPTH- INCHES STAY 1OO' FROIVI ALL W EL LS TYPE OF CONSTRUCTION GROUP- FIRE ZONE USE CLASSIF SETBACKS FT. FROIVI CTR. OF r/W FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG, PEFMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GBEEN SANITATION - GOLDENROD IMPORTANT call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIBONMENTAL N4ANAGEN4ENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401c5s -1 3 CONSTR UCTION _#ifl MoBTLE HoME I i:,t+1r xI L, gAl JN PLAN REVIEW" t LANE COUNTY PERMIT FOR PERt\,1IT NO. CHANGE OF OCCUPANCY [ ] .dx*, '"rid i,..1 ]...or4to-- L,...! t \, ! uwner NATVIE AoonesS'CITY ZIP CODE PHONE tr Contractor NAIVIE Rang e_Sectio CITY Code \Acreage ffi Census Tract Width Depth ADD R ESS O.S, Reg. + t' Tax B lock *. 1 ,Wt ivision Lot Access to Property (Road Name) Existing Structures on Property IDirections to Property - Address: t UCTURE (# BEDROOIVIS)SO. FT VALUATION S P BUILD ING PLU IVIB ING 3% SURCHARGE IVIOBILE HOIVIE- WASTE DISPOSA PLAi\ REVIEW TOTAL _*,,_____ __kr:t-* PLUN4BING INSTALLED BY: OWNER[] OTHER[] NAIVI WATER SUPPLY: PROPOSED t ] EXISTING I ] PUB LIC COVIIVIUNITY NAIVIE E D ISPOSAL IC SEPTIC TANK OTH ER E L PRIVATE WELL OTHER-SPECIFY CONST RUCTION PERTVI{TS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPT I NCHES STAY 1OO'FROIVIALL WELLS TYPE OF CONSTRUCTION I/'"'Ei GROUP FIRE ZON F USE CLASSIFt* SETBACKS- FT. FROIVI CTR. OF rAtV FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. =--- REAR h".5'ZONE AUTHORIZED SIGNATURES BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUN4BING _ CANARY BUILDING _ GBEEN SANITATION _ GOLDENROD ISSU DATE Call 687-4065 to schedule required conslruction inspections. Call 687-4061 lo schedule all required septic system inspeclions. All construction shall comply with the state Buidling Code, D.E.Q. standards IMPORTANT tor subsurtace sewage disposal and the State Plumbing Code. All buildings occupancy belore being occupied. (See Details on Reverse Side) POST TH!S PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT- OF ENVIBONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 require a certificate of , *,tbr* SITE INSPECTION AppRov r o REuanxs DI SAPPROVED Dare I ruspecron FOUNDATION INSPECTION APPROVED REuanxs D DrsappRoveo FJ DAIE I ruspecroR FRAM I NG App nov e o REltlRx s I NSPECT I ON D DrsrppnovEo D Darr I NSPEcToR LATH OR SHEETROCK Ap pnov r o Rruanxs I NSPECT I ON Dr sappnovrD Dar e I NsPEcroR FINAL INSPTCTION Ap pRov r o Reuanx s Dt sappRovto Dar e I NSPEcToR CERTIFICATE OF OCCUPANCY Reaov ro lssuE RruaRx s D Nor Reaov ro lssuE D Drrr I NspEcroR D D