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Home My WebLink AboutPermit Building 1978-07-12TRS, T l1-3-?Y- Parcql vl - 30c.1 E8g knlo S/, (L{E-Y8 d*lL Ua a ln Lot - Bloc I,rlritten Di-rections Job Location Subdivision INFORMATION SHEET X,",' Acreage lding Permit ( ) Site Feasibility Study for Septic Tank. Num ber of s or Lot Size Test holes will be ready Partitioningu----q ( ) Completed( ) Pending APPLICANT'S NAME AND ADDHESS OWNER'S NAME AND ADDRESS, if different icant's CONTRACTOR'S NAME AND ADDRESS a ,loH oa oa (__--.,)1 flns a oOA 7At E//to^ o Pht Co, 33 dafua fioll, Eu ,vJ,r3 ua ?tal/-b Pho ne Phone Phone I (o Contractors O.'. * Sbt(( ) Prefer to pick up. Call STRUCTURES NOW ON T PROPOSED USE WATER SUPPLY (this permit) 5 1,,Uru b,4 etc. ) when ready UCt'eva - wner, ,').HE PROPERT 0 -^r t g or proposed well, etc. lf public, name of system) or proposed septic tank, etc.) S.l'hck,,il. SEWAG E DISPOSA PLUMBING B () PROPERTY IS WITHIN ONE MILE OF CITY (existing Address't 'ot, OFFICE USE ONLY BELOW TH E **tt+*******r**********+***+*r**r****++++ N Hesponse $SH"" Necessary acil ity Permit Necessary pecial Permit Area. Minimum Elevati lnterior Side Yard Rear - (FROM PBOPERTY LINES) N TB\L) To: Planning/Building lnspector/Sanitari Front Side Facing Street (FROM CENTERLINE OF ROAD) By By DEPARTMENT OF ENVI RONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 r This applicant appears to have a problem Your assistance will be appreciated. Permit Processing Section c55-12 tvrston Mailpermit or results of site feasibility study to fiApplicant ( ) Owner ( ) Contractor. ****+**********+************++*****+*** t TRS, T Acreage or Lot S t7c Contractor's O.S. # OWNER'S NAME AND ADDRE JOB LOCATIO Partitioning # LANE COUNTY PERMIT ) Completed Subdivision Lot Block- APPLICANT'S NAME AND ADDR ESS Phon Phone- Phone-CONTRACTOR'S NAME AND ADDRESS Mailpermitto()Applicant()owner()Contractor.()Prefertopickup.Cal|-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY- THIS PERMIT IS FO # B EDROOIVIS-# PLUMB I NG CONNECTIONS WATEB SUPPLY-- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUtV]BlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the prop€rty: -owner ot record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certify that (il not the owner) I am authorized to act for the owner of reclrd, and that said owner is aware and approves ot this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S-Signatu re Date ()NEWADDRESS FACILITY PERI\4IT TO TRANSPO RTATION DEPT.- () SPECIA L PMT. AB EA. MIN.ELEVATION:- SANITATION BUILDING Comments: Comments: By Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date Type of Construction se Classification roup -Fire Zone DateBy: PLANN ING REOUI REMENTS SATISFIED. By:Date Date lssued:1-\Z'1h ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM C/L) lNT. S|DE YARD REAR (FROtlt p/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.PERMtT-wHtrE; BUTLoTNG-GREEN; pLUMBING-GANARy; sANtrATroN-GoLDENRoD; oFFrcEcopy-wHrrE PHONE:687-4394 TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE ss OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Phone- Phone-- Phone--- THlSPERMlTlSFoR#BEDRoolvls#PLUMBlNGcoNNEcTloNL Mailpermitto()Applicant()owner()Contractor.()Prefertopickup.Call-(owner, etc.) when ready. STHUCTURES NOW ON THE PROPERTY \AJATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNENnlLEoFTHEClTYoF.PLUIVIBING BY 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 certily that (il not the owner) I am authorized to act Ior the owner of record, and that said owner is aware and approves o{ this action. I herebv agree to comply with all applicable Codes relating to this permit. Fee Paid $ Signature ( } NEW ADDRESS I FACILITY PERMIT TO TRANSPORTATION DEPT Date ( ) SPECIAL PMT. AREA. MlN. ELEVATION:- SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Bequired - Lineal Feet Maximum Depth Date: BUILDING Type of Construction a"rn,.,."* Use classificatlon roup -Fire Zone Comments: By:By Date PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL I\4ANAG EI\i] ENT. 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687.4394 POST THIS PERMIT ON MAIN BUILDTNG AT SITE BLOG. PERMIT - WHITE; BUILDtNG - GREEN; PLUMBTNG - CANARy; SANITAT|oN - GOLDENROD; oFFtCE COp\/ - wHtTEc55-1 3 I I SLAB FLOOR PLUMB I NG GROUNCT$/ORK Appnoveo Reurnx s D Drsappnovro D Dorr_I NsPEcroR GAS PIPING GROUNU/ORK Ap pnov r o ReulRx s D DrsappRovrc D Dore_I Hsprcron ROUGH PLUMBING Appnove o E/ Rexr nx s Dr slppnoveo Dnr e 8-lo'zt rNSPEcroR QI ROUGH GAS PTPING AppRoveo Rexanr s Dl sAPPRovEo Dar E I Nspecron FINAL PLUMBING APPRovED n DrsaPPRovEo RE ltanx s D ,^,,/O-J 3-/f I rspecton P/ FINAL GAS PIPING AppRoveD D DrsAPPRovEo D Re manr s Dar e I NspEcron CERTIFICATE OF OCCUPANCY Rraov ro lssur Rrunnxs D Nor Rraov ro lssuE D Drre l nspecroR