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Home My WebLink AboutPermit Building 1978-05-15TRS, TL JOB LOCATION Partition ing LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # OWNER'S NAME AND ADDRE ) Completed Subdivision Lot Block- APPLICANT'S NAME AND ADDR FSS Phone-- Phone-- Phone-CONTBACTOR'S NAME AND ADDRESS llail permitto ( )Applicant ( )owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FO # BEDROOIMS-# PLUNNBI NG CO NNECTIONS/( frli-.r\I/ATER SUPPLY SEWAGE D ISPOSAL S.l. # TH IS PROPERTY IS W ITH IN ONE I\4ILE OF TH E CITY OF ' .PLUI\4BINGBY- ] I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the propertyt -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (if not the owner) I am authorized to act lor the owner ofrecord, 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( ) NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AREA. IVIIN. ELEVATION __ Date SANITATION t Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUI LD ING : Type of Construction Comments: roup ire Zone Comments By Date: PLANN I REOUI EMENTS SATISFIED .B ZONE:SETBACKS: FRONT B Date Date Date lssued: SIDE FACING STREET (F ROIVI C/L) INT. SIDE YARD' REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE ALDG. PERMIT _WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATIoN - GoLoENRoD; oFFIcE coPY - wHITE c55-1 3 PHONE:68l-4394 CQ PERMIT d'*/7-3-30 l,tuc r TRS, TL TH IS JOB LOCATIO Partitioning # LANE COUNTY PERMIT ) Completed SubdivisionAcreage or Lot Size Contractor's O.S. #Lot.---Blo nk t PhoneAPPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRES s CONTBACTOR'S NAME AND ADDR Mail permit to (!-trffTicant ( ) Owner ()Contractor. ( )Pre to pick up.Call STRU Phon p Phon 0 (owner, etc.) when readY' ICTURES NO\AIJlL4 PERMIT IS FO ON THE PRO P,RTY R PLU BING BY following legal interest in the property: --that (if not the owner) I am authorized to act with all applicable Codes relating to this permi BING CO ECTIONS s.l. # owner of record; for the owner ol t. #D oo \IJATER SUPPLY THIS PROPERTY ISWITHIN ONE MILE OF THE CITY O I hereby certify that the above statements are true and accu .-----.---contract purchaser; - potential buyer; - realtor o SEW E DISPOSA r agent. I I hereby that I have the further certify agree to complyrecord, and said owner is aware approves \f this action.cyY \ PERM Td TRANSPO DateFee Paid $Signature RTATION DEPTEW ADDRESS I FACI SA ITATION Comments il SPECIAL PMT. AREA MIN. ELEVAT Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BU ILD ING Type of Construction c",n,"""." Use classification roup -Fire Zone B Date Date P LANN I REOUIREMENTS SATISFIED. B Date lssued ZONE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAtN BUILDING AT SITE C55.1 3 E}LDG. PERMIT_WHITE; BUILoING _GREEN; PLUMBING -CANARY; SANITATION_GOLDENROD; OFFICECOPY_WHITE B F ROM P/L}IDE FACING STREET (FRO I SIDE YARSETBACKS: FRONT PHOt\E:687-4394 at--.1 -.-: - :, - ,ri . tFTRS, ;1i r'-' ' Jr-Faa'z l.fOqr PIGrt Plan Subdivision Pernir{/x622 Permit /l Job Locatlon Permi tlt tu(4(\(rr Etr Y. e6-av/J For For t t t # For For Perml For Lot-Blo"k- xe ) \tJt -t- -\ or ss, \\ 75' Ir"*%foo*Q,l o h 3c eqtp.{t 17'Y2q'8 " alo Cqtogq 24,7ttX ?1, 5-F I $ cz+-rso Viclnlty Map N 4a/ WJrr p:-rr.\4y /?- oa -30 tl tSoo />t6-7& TRS, TL Location 355 Wfitterr oirections ( ) Building Permit Acreage or Lot Size .54 Partitioning#-- ( ) Completed( ) Pending PPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites Test holes will be ready- Subdivision Lot - Bloc Phone Phone Phone TtlL ljl2-4 CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site( ) Prefer to pick up. Call feasibility study to ({ )Applicant ( )Owner ( )Contractor (owner, etc. ) when ready. I- STRUCTURES NOW ON THE PROPERT ROPOSED USE (this permit) Contractors O. S. # (existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l 4 laEb ,. WATER SUPPLY / sewecE DlsPosA PLUMBING BY Address I) pRoPERTY rS WTTHTN ONE MtLE OF CtTy * r * * * * * * * t * * * * * * + ** * + + * * r ** + + * * * * * * * * * * * * * * Q F F ICE USE ONLY BELOW THIS LlNf *********rrr**I **** +t+r**** ** i* ***+ ** { * ++ + + :"llHET"'*"( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAO) ( ) Special Permit Area. Minimum Elevation lnterior Side Yard Rear {FROM PBOPERTY LINES) To: Pianning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processi ng Section 125 East 8th Avenue 687-4394c55-12 D ivision I p *t ( 4 lL- ---- lL L \q1 lz- L ( t= TRS, T JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Si 70 ) Completed Subdivision Lot- Bl ncL Contractor's O.S. # APPLICANT'S NAME AND ADDRE ss CONTFACTOR'S NAME AND ADDR Vlail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call OWNER'S NAME AND ADDRESS =-------.--_-- Phone------ Phone-- Phone- STRUCTURES NOW ON THE PROPERTY (owner, etc.) when ready # B ED ROOIVIS-# PLUMIB I NG CONNECT IONS THIS PERMIT IS FOR U/ATER SUPPLY - SEWAGE DISPOSAL_=.- -- - S.I' # Fee Paid $- ILITY PERTV]IT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AREA lvllN. ELEVATIONi - () NEW ADDRESS () FAC , SAN ITATION Comments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction c"rr.rt' Use classification roup -Fire Zone DateBDate:B Date:Date lssued:PLANN ING REOUI REIVIENTS SATISFIED. By: SIDE FACING STREET (FROM C/L)INT. SIDE YARD REAR (FROM P/L)ZONE SETBACKS: FRONT LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TMANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERVIIT ON MAIN BUILDTNG AT SITE C55-13 BLDG. PERMIT - WHITE; BUILDING _ GREEN; PLUMBING _ CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE PHONE:687'4394 trcc THIS PROPERTY IS WITHIN ONE I\4ILE OF THE CITY OF=-.......-. - -. PLUMBING BY -- I hereby certily that the above statements are true and accurate, and that I have the {ollowing legal interest in the property: -owner of record; -contract purchaser; - potentiat buyer; - realtor or agent. I f unf,"tl",iif V tnat (it iotifre 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 compiy with all applicable codes relating to this permit S I TE INSPECTION Appnovro Reuaaxs D r s appnoveo Dare {zu- rfli OkL{/*N5 PE C TOR / FOUNDATION INSP r0N AppRoveo D r s appRoveo Dare I Nsprc Reuanxs *Z FFIAMING INSPECT I AppRov e o Reuanx s Dr slpenoveo Dare I NSPEc LAIH OR SHEETROCK A ppnov E o Rr:u a nx s T ION Dr srppnovro Dar r I Nspec FINAL INSPECTION A"PRovEo Re ltanx s DrsappRoveo D I Nsprcron CERTI FICATE OF OCCUPANCY Reaoy ro I ssuE Rruanx s D Nor Reaoy ro lssuE D Drre lruspEcron D D ,^,, ?-f,-79