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Home My WebLink AboutPermit Building 1977-07-20PERMIT # TRS, T JOB LOCATIO LANE COUNTY PERMIT AcreageorLotSize-Partitioning#-()completedsUbdivision Contractor's O.S. #Lot-Blo ck APPLICANT'S NAME AND ADDRE ss Phon Phone- Phone-- OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRES Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready ( STRUfiURES NOW ON THE PROPERTY THlSPERl\4lTlSFoR#BEDRool\4L#PLUl\i]BlNGcoNNEcTloNL Date - WATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVIBING BY I hereby certify that the above litatements are true and accurate. and that I have the following 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 o,f record, and that aaid owner is aware and approves oJ this action. I hereby agree to comply with all applicqble Codes relatihg to this permit. Fee Paid $- Signature () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction Comments: roup ire Zone ( Comments By:Date:B Date P LANN ING R EOU I R EIVIENTS SATISF I ED By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR i (FROM P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL TVIANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATTON-cOLDENROD; OFFtCECoptr-WHtTEc55-13 PHONE: 687-4394 TRS, TL t7- lrlritterr Directions ('r,) Building Permit Acreage or Lot Size /+ a.c-r.a 7 Partitioning #- ( )ComPleted( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's Job Locatipn INFORMATION SHEET ( ) Site Feasibility Studv for Septic Tank. Number of sites- Test holes will be ready -tl-r4-q:z* ''-ffi d Subdivisio tot 17 glss za& ND ADDRESS phone Z z/L - A?l \ Phone Phone-pNTRACTOR',S NAIVIE A ,tail oermit or results of site p(i'reter to pick up. Call wu'vtolr ( )Applicant (X) Owner ( )Contractor ( owner, etc. ) when ready Contractors O. S. # 3 (existing or proposed well, etc. lf public, name of system) STRUCTURES NOW ON THE PROPERT (\ WATER SUPPLY --"'R..',.,r.V-.^ \ a F- r.hlrf. SEWAGE DISPOSAL /-7 z-(existing or proposed septic tank, etc.) S.l PLUMBING BY $-J. r4 -Address () PROPERTY IS WITHIN ONE MILE OF CITY *******oFFlcE usE oNLY BELOW THIS LINE*******r**r** )t ZON s Necessa ry ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation SETBACKS: Front f!' Side Facing Street lnterior Side Yard f aear 7'P(f (FROM CENTERLINE OF BOAD) (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT O F ENV I RONMENTAL MANAGEIUENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 Division PROPOSED USE (this permit) TRS, TL PERMIT # JOB LOCATION LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision B loc Acreage or Lot Size Contractor's O.S. #Lot- APPLICANT'S NAME AND ADDRE SS OWNER'S NATVIE AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mailpermitto()Applicant()owner()Contractor.()Prefertopickup.Call-(owner, etc.) when ready Phone Phone Phone STRUCTURES NOW ON THE PFOPERTY- r'HlS PERI\4|T lS FOR # BEDROOI\4S-# PLUMBING CONNECTIONL \^/ATER SUPPLY SEWAGE DISPOSAL - s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEclTYoF.PLUlVlBlNGBY I hereby certily that the above statements are true and accurate. and that I have the following 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 $-Signature Date ( ) NEW ADDRESS ( ) FACTLTTY PERIVIIT TO TRANSPORTATION DEPT ( )SPECIAL PlVlT. AREA. lvllN. ELEVATION:---- SAN ITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Date: BU ILD ING Type of Construction Use Classification Comments roup -Fire Zone Date Comments By:By PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL I\NANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.PERMtT-wHtrE; BUtLDTNG-GREEN; pLUMBtNG-GANARy; sANtrATtoN-coLDENRoD; oFFtcEcoprz-wHtrE PHONE:687-4394 SITE INSPECTION ApeRov e o Reuanx s D I SAPPROVED I ruspecron FOUNDATION I NSPECTION APPRov Eo RruaRx s D r s APPRovED D D^-,, 9.- lr-7?I NspEcton ?a (dd FRAMI NG APPRov E D Re ulnx s I NSPECT I ON DrsAPPRovE, D I NSPEcToR LATH OR SHTET I NSPECT I ON Dr sAPPRovEo D o*,//-yf - 71 I NsPEcroRAP PRov E o RruaRxs FTNAL INSPECTION DrsaPPRovED D o^r, //-/G-77 l ruspecronAPPRov E D Rruanx s CERTITICATE OF OCCUPANCY ReaoY to I ssuE 71 9^K ReuaRx s D/ Nor Rraov to lssur D Drre I HsprcroR \ -r' ,*,8 - r |-l't ( ,o,,-d-/8J ?'. CORRECTION NOTTCE TANE COUNTY DEPT. OF ENVIRONMENTAT MANAGE'VIENT Conslruclion Permits & lnspecfions Division EUGENE, OREGON This build.ing or srrucrure does not conform to Lone counry buirding regurorions, ordinonces or codesos noted below: e4 ,---"L-/a--.*4 '-)-/ ..?7RE.INSPECIION REQUIRED FOR APPROVAT lnspector Datec55 -7 3 Building Permit #