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Home My WebLink AboutPermit Mechanical 1977-10-28PERIVlIT # TRS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATION-- LANE COUNTY PERMIT Partitioning #- -.----.----_-( ) Completed Subdivision Lot - B loc APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )owner ( )contractor. ( )prefertopickup. calt (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY--- Phone--- Phone---- Phone---- THIS PERI\4IT IS FOR- -- + BEDBooMs-* PLUMBING coNNEcTIoNjS-- UJATER SUPPLY SEWAGE DISPOSAL ). r. ;t THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF_-- PLUN/IBING BY I hereby certify that the above statements are true and accurate, and that I have the fotlo\aing legal interest in the propertv: -owner o{ record;.contract purchaser; - potential buyer; - realtor or agent. lfurther certity that (if not the owner) I am authorized to act for the owner ( frccord, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Ccdes relating to this permit. Fee Paid $-Signature Date( }NEWADORESS ( i FACILITY PERM IT TO T RANSPO RTATION DEPT, - () SPECIAL PMT, AREA, IMIN. ELEVATION: - SANITATION BU |LDTNG Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet l.4aximum Depth Type of Construction Uomments rou p Fire Zone c"--""1,' Use classification B Date PLANN ING R EOUI R EI\XENTS SA TISFIED. B ZON E SETBACKS: FRONT B SIDE FACING STREET Date Date Date lssued (F ROtM Ci L)INT. SIDE YARD REAR (FROM P/L) LAN E COU NTY DEPARTMENT OF ENVIRONMENTAL INANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O'I POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT -WH!TE; BUILOING -GREEN: PLiJMBING -CANARY; SANITATIoN-GoLDENRoD; oFFICECoPY-,vvTiITE c55-13 PHONE: 687-4394 TRS, T \1-o 3 - 2-'{ -a..{ asz Job Locatio SG TTBrA"]a-S Ititten Oi-rections ( ) Building Permit Acreage or Lot Size Partitioning# ,( )Completed( ) Pending INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Test holes will be ready Subdivision Lot - Bloc 1 710-;?e4 ? 7t-7 Z APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different f appl nt's CNNTRACTOR'S NAME AND ADDRESS( permit or results of site feasibility study to )Applicant ( )Owner ( )Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready STRUCTURES NOW ON THE PROPE R PROPOSED USE (this permit) WATER SUPPLY PLUMBING B il PROPERTY IS WITHIN ONE MILE OF CITY contractors o. s. # I 3443 (existing or proposed well. etc. lf public, name of system) Phone Phone Phone ,,8 sEwAGEDlsPosAL{existingorproposedsepticr.nk,etc.}s.l. Address .*1..*+oFFtcE usE oNLy BELOW THtS LINE*+*l+r. l.r* (1 New Address Necessary Zurrl E ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF HOAD) ( ) Special Permit Area. lVlininrurn Elevation lnterior Side Yard Rear (FROi\i PROPEFTY LI IJES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem w Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55.12 D ivision PERTVIIT # TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Partitioning #----( ) Completed Subdivision Contractor's O.S. #Lot B lock-- APPLICANT'S NAME AND ADDRES q Phone PhoneOWNER'S NAME AND ADDRES s Mail permitto ( )Applicant ( iOwner ( )Contractor. ( )Prefertopickup. Calt (owner, etc.) when ready CTRUCTURES NOW ON THE PROPERTY + B E D R OO lvl S-- -# P L U lvl B I NG CO N N E CT I O !'.i S-__ CONTRACTOR'S NAME AND ADDBESS- Phone- *-_ UJATER SUPPLY -- SEWAGE DISPOSAL J. I. ;F THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF- PLUTVIBING BY I hereby c€rtify that the above statements are true and accurate, and that I have the follotrring 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 tor the owner of record, and that 9id 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 i ) FACILITY PEBMIT TO TRANSPORTATION DEPT.-- ( ) SPECIAL PMT. AREA. l\41N. ELEVATION: --SAN ITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet l-{aximum Depth BU ILD ING Type of Construction ___Group Use Classification Comments Fire 76n* Comments: By:Date B Date PLANN ING REOUI REI\4E NTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI CiL) INT. SIDE YARD BEAR (FROM P/L) LANE COUNTY DEPAHTI/IENT OF ENVIRONMENTAL INANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - [/HITE; BUILDtNG - GREEN; pLUwIBtNG - CANARy; SANtTAT,L]N __ GOLDENROD; OFFTCE COp./ _- wHiTE c55-1 3 PHON E: 687-4394 THIS PERMIT IS FOR--- i SITE INSPECTION Appnov r o Rrxanr s D r sappnoveo Darr lruspr.cton FOUNDATION INSPICTION AppRov t o Rrur nx s / / DrsappnovEo n Darr I ruspecton FRAM I NG AppRoveo Reuanx s I NSPECT I ON D DrsrppnovEo [J Darr lHspl,cTon LATH OR SHIETROCK AppRov r o Rryanxs I NSPTCT I ON Dr sapenovEo Drrs I ruser cton F I NAL I NSPTCT ION APPRov E o Rrunnxs Dr srppRovto Dnrr I ruspecron ) CERTIFICATE OF OCCUPANCY Rraoy ro lssuE RruaRx s / / Nor Rcroy ro I ssur t--l Drrr I ruspecroa