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Home My WebLink AboutPermit Building 1973-05-23t IANE CO' BUTLDTNG E TY BUITDING PERIAIT >R MOBITE MHT )ME USE PERMIT PERMIT NO. PROPERTY OWNER MAIIING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY IEGAI DESCRIPTION - METES, BOUNDS RANG E s{{(ri-BL/r<3 SECTION TAX LOT NO CODE CENSUS TRACT l-100 EXISTING STRUCTURES ON PROPERTY ral(APPI.. NAME & MAII.ING ADDRESS TEGAL ACCESS TO ?ROPERTY Eugene, 0r PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existi Sewoge System New m TYPE CONSTRUCTION SQ, FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAT PLUMBING INSTAI.LED BY PUBLIC BUITDING WASTE DISPOSAT PI.UMBING PLAN REVIEW PARK TRAILER SEPTIC TANK OTHE OWNER OTHER: NAME WATER SUPPTYFEESt PUBLTC tr tr OTHER TOTAT UNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[.Exists DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT I or storm sewer ,on lrturb oxlsting dr 0r a! OCCUPANCY ZONE PUBTIC UTI[. EASEMENTTYPE OF STRUCTURE BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR DATE t</ BoBs AUTHORIZED SIGNATURE - DATE uray, BLDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond countY regulolions buildings require o certificole (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau t 955- 13 .,7 BU I LD ING S ITE EV ALUAT I ON A Building Permit Application No. ( ) Site lnspection ( ) Pre-Permit lnvest igat ion G rJ-La_3_ --4€NSUS TRACT orj:l9Ls?3 3.TAX L C-' APPL I NAI'IE ADDR PHONE e\rs DATE NOT NO IF'i't icab le - YES NA}4 E Zoni Subd ng Ordinance Compl ir;,cg, 12"'"efr1lT .)ivision 0rdinance Compl iance r)() () () ( () ( ((2 3. Requ i red Access 4. Building Site (Area, lridth, Frontage, Setback) 5. 0ther (see comments) CO}1I4ENTS: ( () ) BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Pla in 9. Other (see Conments) NOT NO 6E't icab le - YES DATE () () () () ( rI (y1 c/) ()()(nJ-" I 3 *7J COHHENTS: SAN ITAT ION SECTION Sewage Disposal Usable Area Water Supply 0ther (see Comments) NOT YESNO NAl'1E I icable 10. lt. t2. 13. ( ( ( ) ) ) () () () () ( ( ( ( COHHENTS: TO APPL ICANT: Your Bu i ld ing Permit / S i te Inspect ion: M Can be approved . L'. 't -i'; '-.) (f) Cannot be'approved at this iime as indicated on item No. ._above. Questions and further information on items I through 5 contact the Lane- CoUNTY PLANNING DEPARTMENT. Questions and further information on items 5 through l3 contact the Will be held in this o Lane Count Buildin and Sanitation Division. ce unt i I you can reso vet problems i i cated. (ls being returned.( ) Your building permit appl ication fee is being returned under separate cover. L/\Nt COUNTY PLANNTNG DEPARTHENT LANE COUNTY BUILDING E SANITATION DIVISION f 'tt Sixth l\rente Iast, Euqene, Oreqon 97401 135 Sixth Avenue East, Eugene, 0r'egon 97401 t,rtrrNt : rtr?-tilt lXt.2l pH0Nt: 142-l3ll EXT. 4l I ) ) LANE COUNTY PLANNING DEPARTI,IENT DATE,lk 9/8-7< ) NAI'IE DATE LANE CO' TY BUILDING BUTLDTNG fl MH E PERMIT -)R MOBILE )ME UsE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge m TYPE CONSTRUCTION SQ. FT New 'stem I BDRMS VALUATION SEWAGE DISPOSAT PTUMBING INSTALTED BY PUBI.IC BUITDING WASTE DISPOSAT PI-UMBING PtAN REVIEW PARK TRAITER TOTAT SEPTIC TANK OTHERE OWNER OTHER: NAME FEES WATER SUPPTY PUBUC f] tr oTHER ( $ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT \Atc\I TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT, USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT _ WHITE OFTICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUIIDING - GREEN SANITATION _ GOTDENROD Construclion to comply with unif orm building covering plumbing ond sewoge disposol. All of occuponcy before being.'occupied. code ond county regulolions buildings require o certificote T (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronv * 655 - 13 - t-l ft SITE INSPECTION Appeov r o Reuanx s D r srppnovro Dare I Nseecron FOUNDATION I NSPECTION AppRovto ReuaRx s Dr saPpRoveo Dar e I ruspecton FRAMING INSPECTION Appnoveo Reuanx s D Drsrppnovro D Drre I Hsprcron LATH OR SHEETROCK Ae pRov r o ReMAnrs I NSPECT I ON DrsrppeovE o F7 Darr I Hseecton r I NAL I NSPECT I Ap pRov e o RrMrnxs Dt srppRoveo D Darr |til'73 uI rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssuE Reurexs Nor Relov ro lssue I Hspecron 4o ?-YJ 2yo o Dat E 3 t-,/ao r ,.- -al ,/U-a IANE COUN7" BUITDING PERMIT OR MOBILE HC '-J USE APPLICATION PERMIT TYPE _ BUILDING x MOBILE HOME I-l OSC REG. #PERMIT # ?.l 7-25 MAI ADDRESS MAITING AD PHONE PHONE PROPERTY LOCATION _ INCTUDE POSTe,d o PROPERTY TEGAT DESCRIPTION TOT_BTOCK_SUBDIV. TWP RANGE 6 rt -to \./ ATTACHED YES SEC.TAX tOT CODE t CENSUS TRACT o et-60 ONEXISTING TEGAT ACCESS PROPERTY SIZE-WIDTH IT ANY NAME AND MAITING ADDRESS NAME OR DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existi Se m ! or New Systeme SEWAGE DISPOSAT PUBUC ! r)e srprrc uNx'6L PTUMBING INSTATI-ED BY OTHER n OWNER N OTHER fI NAME PTANS FURNTSHED FACITITY PERMIT BLDG. WASTE DIS. PI.UMBING PTAN REVIEW PARX TRI.R.3,fuL TOTAT FEES WATER SUPPTY PUBTIC PTUMB FEES FIXIURES cAsH E OTHER NO YES NO BY DATE 95;ad CHECK PUBTIC WATER CONNECTION FEE D COUNTY BUILDING & SANITATION SPECIFICATIONS 7- NECTION FEE AAIN. SEPTIC TANK CAPACIIY FRONT SIDE INT, WITH DIST. BOX: GA[. TYPE occ BLDG. SETBACKS - FT CTR. OT ROAD RIGHT OF WAY DRAIN FIETD REQUIRED TIN. FT.TRENCH WIDTH FT. REAR Dote BIDG. I OR SQUARE FEET REAR YARD USE CTASSIFICATION stDE EXT. -" PUBTIC UTIL. EASEMENT Dote NG Z Direclions to d PropertY: torm # css-tz (-U .?3 Dote COPY I _ OFFICE COPY 2-JOURNAT COPY 3 _ AUDIT STRUCTURES TO BE BUITT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BEDROOMS VAI-UATION