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HomeMy WebLinkAboutPermit Building 1979-07-09t\6 'llp DEPARTI]ENT OF ENVIRONI4ENTAL T,IANAGEMENT PSB, I25 EAST BTH AVENUE EUGENE, OREGON 9740I L,L llowed by the State Building Code and ng legal interest in the property:r of an exclusive option to purchase; tion. S*,ertJob Address Appl ication for Structures now on the property ,i$,q ;g#..iritii; titil riffiiJ#ir gr cu tural building it will be used for pu County Co Chapter l0 (zo ning)and for no other pu rpose. I have the 0wn er record;tract purch i essee hol derxl;ly thori ze ili$"tii -E Affi da hereby certify that this information is true and accurate. p tion is for an a L is [nowledgeable rposes a fol Iowi ppl irtos Si jnatu dress Tel ephone When permit is ready +iLI Owner Con trac tor Contractor's 0SR#27 {/7 z r Da te /_7 Contractor !y:/-/ mail z1 z1 li nt Phone Plumbing by phone0wner DO NOI WRITE B LLOW THIS LINE If Commercial Residential: # of employees -_-Iill:,''lllu;;;;; # QtLc."qe{- /ffirct,-.sed, si # 78--qln o*t5SI test holes ready L\a \ C€--! :#$Irf*infiii 8u €q;+Total Vaiuation Valuation Subtota l SbS TOTAL ;:$iiiiti: .!ffi+#ir Fee G rO-4 J{- a/_t Received by Water Supply Proposed Year lnstaiJ CL &at$ at$ each $ each $ $ 4% State surcharge Plans check fee Change of 0ccupancy cje $ l-{t\.[ $ $ Existing PERMIT PRO CESS I NG Minimum setbacks Comments To be typed on permit CP&l Type To be typed on permit Zonet,r Parcel # ron t t, side ; ln rea Group Fire Zone Use Classification By ByFor plans information call (a pecrea ins @/x Directi to si te '-,rXr rrtr, CP& I HPC ,rU:y, 0 Plans to et -- set Da te Requ red Hold Slip Da te Date to PCC /_/ Planning /-/ PubltcSffi.s /fievaUon /-/ n/u /{Aaaress /_/ Facil ity permit 17 Environmental Heal th FoR INF0R|,!qTI0N about progress of your application call',4-L7L Da te Phone te Permit Control Center 68i-HELP (687-4357) h f s) s)2-h 242_ 7/1 z # -v- nr-rr-rr{ESS POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT +r Subdivision:TRS, TL This permit for the referenced property is hereby . Setbacks and other conditions of approval must be strictly observed. Violation can result in revocation of this permit, citation under provisions oI Lane County'. lnfraction Ordinance, and/or other remedies allowed by law. Applicant/Address: Owner/Address: Contractor/Address: Contractor's OS +* Construction approved b y this permit Water Supply: Total Construction Value: Telephone Telephone Telephone + Bedrooms:+ Plumbing Fixtures:+ Employees: PLANNING DIVISION Zoning: Partitioning + Parcel +r Minimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: , , .. ;rear property line: Special lnstructions: . For information call 687-4394, Parcel Size ; centerline of road, WATER POLLUTION CONTROL DIVISION Site lnspection +r lnstallation specifications: . lineal feet of diainfield required; max. depth of trenches: Special lnstructions: gal. min. septic tank capacity; Setbacks nterior property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 10' 5', 50' Drainfield-T0- 10' 10' 100'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction: I nstructions: Fire Zone: between 8:00 a.m. and 9:00 a.m., Use ClassificationGroup: For plans information call For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 Directions to Site Date lssued: c55-l 3 DEPARTMENT OF ENVI RONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 hne county By: p.m 6llr-'- { SLAB FLOOR PLUMB ING GROUNMORK Apehoveo drl sAPPRovED Reulnx s D Dare f -J$'T,X'pEcroR GAS PIPING GROUNU/ORK Ap pRov r o Rrxlnx s I xsprcton ROUGH PLUMBING Appnovro E DrsrppRoveo D oorr_/0-/6-% RElra Rx s Ir.rspEcron rill ROUGH GAS PIPING APPRovED D Drseppnoveo D RexeRx s Drrr lrvspe cron F I NAL PLUMB I NG Appnov e o Reuanx s m Drsappcovro D oorr /& -/J.7 I xsprcron fk FINAL GAS PIPING AppRoveo Reuanx s D t sappnoveo Drre I NspEctoR CERTIFICATE OF OCCUPANCY Rraov ro lssue ReulRrs L -/ Nor Reaov ro lssuc n Dare I xspecroR D DrsrppRovro D Dorr_ a Boll Plumbing, lnc.BUS: 726.7294 fOM27478254 JERRY: 4855620 U 9ua (t STATEMENT =- DATE DESCRIPTION 11A%pu month witl be charged prst duo account3. 7'A% pot month oquals 18% per annum, BALANCE Amount in this Column ROUGH !N F!NISH EXTRAS 0c1 5 197 .%=/l ,r' Accounls are payable bofore tonth of month following dato of purchaso. Amount Due 3570 E. 14th Ave.. Eugene, OR 97403 courth( 2 I ( a Permits & lnsoectron POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMTT + TRS, TL: Subdivision: This permit for the reJerenced property is hereby Setbacks and other conditions of approvalresult in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other JOBI,ADDRESS Applicant/Address: Owner/Address: Contractor/Address Contractor's OS # Construction Total Construction Value llur.i:1i:'#J?Tffi vio'|ation can -dl;i::n:l:, a'aTelephone:.d} *) a proved this permit: Water SuPPIY PLANNING DIVISION + Bedrooms + Plumbing Fixtures: ; centerl +* Em ees: Zoning: partitioning + parcel +Minimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special lnstructions: ,fl"'J.'''" For information call 687-4394 WATER POLLUTION CONTROL DIVISION Site lnspection +* lineal feet of drainfi I nsta I lation specif ications tn nk capacity;, sepqpta ,;f,*, 1ii' Setbacks Septic Tank Drainfield eld required; max. depth of trenches: Special lnstructions: . Edge Jeuita --lT'- 10' 10' 100' nterlor pro perty lines 10- of road right-of-way 10' ing foundation 5', urt fil€ rilay naxLeil$e{ Th, aree fres or For information call tn Ei1lcd tf appllcrat lrartaoca arch aa Well other water sources 50' CONSTBUCTION PERMITS/INSPECTION DIVISION between 8:00 - 9: Type of Construction I nstructions: Group hdldtns Fire Zone:onCI r7 ifI#i * oeo For plans information ca between 8:00 a.m. and ons (see back of thi s permit)call 687-4065 between 3;33lfl:;"ds+mr# Directions to Site Date lssued: lane county art €od. For i DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By:6l!'\- ',{ ,a % { I Nspecron a S I TE INSPECTION APPRov E o Rrue Rx s Dr sAPPRovEo D oor- 8-lO-7? FOUNDATION I NSPECTION ./ APPRovED / (/ DrsAPPRovEo / /Drre I - 27-77 truspe cron W RE MARK S FRAMI NG APPRovEo Re ueax s Rtxanxs I FINAL INSPECTION AP PRov E o Reuanx s I NSPECT I ON 3',5 D r srppnovro 4 uan a.tt o,C, + D o*rM 'l-2-8o fl +zre-'e%t //-7 7 I NsPEcroR NSPECTOR I Nspecron LATH OR SHITTROCK Appnovro ru/n oo,,fu3e-7? I NSPECT I ON Dr saPPRovEo D l SAPPRovED , Drr CERTIFICATE OF OCCUPANCY ReaoyrolssueC/NotRreovTolssUEC/Dore-lNSPEcToR- Reuanx s d FLOOD PLAiN MANAGEMENT Departrnent of Publ jc Works I 25 East Bth Avenue Eugene, 0regon 687-4.l 95 TO: PERI'IIT PROCESS ING PLAi'IN iNG PUBLIC hJORKS PERI4IT NUMBER PARTITION NUMBER SUBDIVISION OTHER SITE ADDRESS (-.A',:',2 o?V ir,i.E-frr PERMIT VALUE iS A SUBSTANTIAL IMPROVEMENT. SITE IN FLOOD HAZARD AREA YES YES NO NO l/ SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL BE REASONABLY SAFE FROM FLOODING. MOBILE HOME TIE DOWNS REQUIRED. SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA. MINIMUM FIRST FLOOR ELEVATION OF (M.s.L. ) REQUTRED. MINIMUM FOUNDATION ELEVATION OF (M.S.L. ) REQUIRED. MoBILE H0ME TIE Do!,{NS REQUTRED IF GRoUND ELEVATIoN THAT F10BILE H0l4E I,IILL BE PLACED ON IS BELOl^l THE REQUIRED MINIMU}I FIRST FLOOR ELEVATION. -4.SITEL0CATEDI^lITHINADESIGNATEDFL00DWAYCHANNEL,BUILDINGPR0HIBITED. RECOMMENDATIONS : . DATE I 2 3 .D 1 it\ i -{ =5--t ^ c99-2L BY s oo og'zo' w 92.41' i fr) o o -\,-A s Cy tu o N-e J €u(- /S ea-A,76, \\a 06 .{ )?6" od .ll 40" L=34.69 5.60 c s4^o'\4^ '\>c .:. aqll' J I I i i ,l I I a d' ,t.. t('l ,l I I I I I I I I /.\lt'\/ sv,, ..,Jn ,t ,U, l,G I -,o c t \-r ru' .4 - (;z'\\ .4 4 z ,//, lt-oz- /?r/Job Location (Street, mile YICINITY MAP Subd ivision &cnB R FOR SANITARIAN'S USE ON LY: {L COMMENTS Approvedfi E System Disapproved fl Needs Correction 3TFIS, TL post I Lot 3 Block -=- Date: (^t' ro $c) \ J a.r o/ Signatu FOR INSTALLER'S USE: Trench Depth 24- SO epth Below TileFiller D d \S Tank Capacity / Doa Manufactureroistance to well from tank MUql PLOT PLANl 379 > E 9re-6\ -o? N .v \ Pollution 'ii,'ision countY.ot, sho l0 l0 tb --r n/L3_L) , .J I ,.\)f--ol ,f, I L,:4<: N \ E b a !-) I I l tr\ 0{ \ n 60 G) ! o) 5(o --r_ o) E(oz J' c(oo, uJ E)F Z \ La e \ t?x fr" R ea- INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLET When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 isfactory completion of a subsurface sewage disposal system at the above location. Return this form to: Permit Processing Section, Department of Environmental lVlanageme Public Service Building, 125 East 8th Avenue, Eugene gl4O1 Sca le )-, =(EPoC + o- co c55-] 1 2 sat ?q Lo \P \)ts co N s \ s h) \ \ J from drainf iew tV/ A )J t \ -l I i i a JOB ADDRTSS: TRS, -[L: POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT + Cr to-g{l*t-rg Subdivision: Setbacks and other conditions of approval must be strictly observed. Violation can ne County's lnfraction Ordinance, and/or other remedies allowed by law. Applicant/Add ress: Owner/Address: Contractor/Address: Contractor's OS + This permit for the referenced property is hereby result in revocation of this permit, citation under approved. proviiions of La trx llart) ]$0J91 {';rrsf, CrG*. Solrd, $prtng.f;leld, t}rrl1',$Er Iirltrfui llan,-try ffiat*ft es eppJ.!.cant Z?SL:; Total Construction Value: g4gr33/rn0ri I't4T?Telephone: Telephone: Telephone: ?'trr*fg* S{i{,-!$fI { Construction approved by this permit:t}Dr nrrr6*l tq rt/ur/M. rr lcl:rmttSlo eq frlerrrtn/slz *q ft/de*,/{8 64 tr"Inredt eE (}tuld'rfr h.t) Stnrcarru qil eo P*ry883'"J#$,"+ Plumbing Fixtures +r Employees:-i \rlater Su .. PLANNING DIVISION Zoning: Partitioning + Parcel + lVlinimum required structural setbacks, from: centerline of road, f ront: side exterior: Special lnstrucfiBns ; interior property lines: 7tn irear property line ** trst*rirrr $€tbacln l$ 7 t PU.: For information call 687-4394, Parcel Sizen 55;- ; centerline of road, 7t lrug l0r(l$O .{ ftt WATER POLLUTION CONTROL DIVISION Site lnspection +I nsta I lation specif ications:gal. min. septic tank capacity; lin ea I feet of drainf iel d required; max. depth of trenches:3{-}fSpecial lnstructions rn*rl.l. en ryrl dirtrrhtrm lmp *prr r. pG attdd plct pln Septic Tank Drainf ield mhl'ttcd Jalt tl, 19fi1. tht tfulc $frtcr lrlc br Lcrl. !b bqr* rcqralrri 10'---10-brt m nry b. liltslId !.f apglleat *o de+r,rrl. tbld trmrhcr to lot 10'10',.r*lm. XA. #lr brc*. yrrd raG be rrnervad for cci,gilar1 mC rcpl 5',10'err fru a ary dlta*'bcr sch u ceevntfun, pteEl or buLldl*t 50'1 00'For information call between 8:00 - 9:00 a.m., !?5 Setbacks hTeii o-i o r p roperty I i n es Edge of road right-of-way Building foundation Wells, other water sources CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction: F \r Group: k-3 Fire Zone: 3 Use Classification: lnstructions: sua r*r*il sldc of lNrllril.ng gmrult fcr rnqu*red r:xi]-]"$ri ,.Rsn,€ctic**, For plans information call between 8:00 a.m. and 9:00 a.m., For i s {see back of call 687-4065 between 8:00 a.m. and 5:00 p.m. sr'!I/qixrfix lane countyDirections to Site: Date lssued: &rt or filyta mfdtp Id ts :l:kd 8rfint, routb c lkd p6 64tc{3rrlg rlt 6fid. Bv: DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE. EUGENE. OREGON 97401a66-1 1 o . POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESST 2649 33td, Streer, Sprtntfield, Ot€gon CONSTRUCTTON pERMtT# LG!2O83-79 TRS, TL: t+r02.**-+itF t 742-t q, 3,1 * 7// Subdivision: crcodo!, r.t 3 This permit for the referenced property is hereby epproved. Setbacks and other conditions of approval must be strictly observed. Violation can result in revocation of this permit, citation und€r provisions oJ Lane County's lnfraction Ordinance, and/or other remedies allowed by law. Applicant/Address: Owner/Address: Contractor/Address Contractor's OS + Tou Hart, 38093 Canp Creek Road, Sprlngfleld, Oregon Edrln Eandy Bame as appllcant 275L2 Total Construction Value: $491334.00 97 477 Telephone: Telephone: Telephone: 726-9L84 344-L847 I Construction approved by this permit Stnrcturea now on property! none water supply: Ralnbow water Dlstrlct # Bedrooms: 2 SFD: Maln/630 sq ftlupperlTOt sq ftllower/gtO sq ftlgaragel572 sq ftldeck/48 sq fr.Install SDS (Forced alr heat) + Plumbing Fixtures L2 * Employees: na PLANNING DIVISION Zoning: RA Partitioning +r na Parcel +r na parcel Size: Minimum required structural setbacks, from: centerline of road, front: 65r ; centerline of road, side exterior: na ; interior property lines: Trrc;rear property line: Zr pUE Special lnstructions: ** intertor setback le 7r pug For information call 687-4394, Donnalee 101000 sq ft; WATER POLLUTION CONTBOL DIVISION Site lnspection + 78910 lnstallation specifications: 1OOO gal. min. septic tank capacity; Z2S lineal feet of drainfield required; max. depth of trenchesi 24-3O'l Septic Tank 10' 10' 5', 50' Setbacks I eoge or property lines of road right-of-way Building foundation Wells, other water sources Drainfield---T0- 10' 10' 100' Special lnstructions rnstall an egual distribution loop system as per attached plot plan eubnl.tted July 31r L979. The whole Bysteu uust be Ievel. No boxee requlred but oae nay be lnstalled lf applicant so deslres. Hold trenches to 30tt ma:rlmum. The whole back yard nust be reee::ved for original and replacement area free on any disturbance euch as excavatl.on, paving, or building on. For information call 687-3S60between 8:00 - 9:00 a.m., p thl tliederhold CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: Sp/GARAGE lnstructions:See reverse slde of buildLng pernlt for requlred called lnspectLoos. For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., Jln LaDb For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. hne countyDirections to Site Date lssued: : East on llayden Bridge Rd to 33rd Street, eouth on 33rd to culde-8ac at end. 08-03-79 Bv: Eans Ertlblly DEPARTMENT OF ENVIRONMENTAL MANAGEMENT , COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401e55-1 ? 6l!' - TO PERI'IIT PROCESSING PLAi.'IN ING PUBLIC WORKS FLOOD PLAIN MANAGEMENT Department of Public Works I 25 East Bth Avenue Eugene,0regon 687 -4195 PERMIT NUMBER PARTITION NUMBER SUBDIVISION OTHER SITE ADDRESS ! PERMIT VALUE IS A SUBSTAI{TIAL IMPROVEMENT.YES NO SITE IN FLOOD HAZARD AREA YES NO SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE I'IILL BE REASONABLY SAFE FROI4 FLOODING. MOBILE HOME TIE DOl^lNS REQUIRED. SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA. I. MINiMUM FIRST FLOOR ELEVATION OF 2. MINIMUM FOUNDATION ELEVATION OF (tI.S.1. ) REQUIRED. (M. S. L. ) REQUIRED. 3. MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOI4E I,IILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION. 4. SITE LOCATED I.JITHIN A DESIGNATED FLOODhIAY CHANNEL, BUILDING PROHIBITED. = RECOMMENDATIONS: -lx t-o{ DATE c99-2L BY t LANE COUNTY DEFT ENV T.IGT RECEIFT + ?083?9 DATE O?09?? APFLICANT HART, TO}.I ADDR 38093 CAHF' CREEK RD SFRINGFIELD TL* {?OTI9OOOOOOO SUBDIV GLENDON ACRES LOT 3 BLH - NEIJ BLDG TYFE.$i.rr USE R NO BDRt.lS O? N0 UNITS OOt NtI STORIES NO BLDGS 00{ CODE AFPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS ErP SFD,/I'IAIN 630 31.25 3031 ? JP UFFEFI 70t ?4.OO t68?4 BP LOI,ER 310 ?4. S0 7440 BP GARAGE 5?3 8- 1 0 4633 dP DECK 48 ?-50 1?0 BPtrF LC ?OB3?9 NEIIR 49334 I 8?.0O 5 -.tL NO. FIXTURES: {3 N0. CI}NNECTORS: 2 4.00 EACH * 56.00 HECH IIECHANI CAL FEE { O. OO SUR STATE SURCHARCE 47" 1 O. I ? ICK PLAN CHECK FEE 5OZ I?6.50 OsDs sDsr ?5-00 0 0 0 0t?o 0 o "IIFO CPI ]'AKEN BY DLI,I tilPG F LAN F:LEV ADDR FF COI,IPLETED IIY HNVH TfJ,..- FEEx*4{ 4.6? CK I ; z a z = o 1El^ I2 ll l0 APPLICATION # Name Address Zi p Code jon js being held by the Permit Processing Section for the fol'lowing HOLID SLIP lane county Trulf,, oaTlpat&* The above appl i reasons: 6 Date ,ryi- Division: Si gnature: D'ivision: Si gnature: This appf ication will be held until If the jnformation requirbdabovehasnotbeenfurnishecationwillbecancelled. Fees paid for waste disposal systems (site inspections and/or applications to'install the septic tank and drainfield) are nonrefundable. Some refund may be made on the building and plumbing portion of your application'if cancellation is necessary. Date In the event a Planning or some other long-term problem exists over which you have no control we w'ill hold the permit until the problem is resolved and we receive word from you as to whether to prbceed with permit issuance 0r process a cancellatiOn. c74-t39 PERMIT PROCESSING SECTION - 687.4394 o r-\\--l ,-\ DEPARTIlENT OF ENVIRONI,IENTAL I1ANAGEI'1ENiI PS8, I25 EAST BTH AVENUE EUGEIIE, OREGON 9740I Appl ication # Ass ned NumbersJob Address City Township, Range, Section, Tax Lot lfil Subdivision Appl ication for {al,Lot ;-t Ll t1 Structures now on the property Proposed use of property: /_-fi$esidenrtial /_7 Commercial /_7 Industrial /-/ Public ,1'+ p1 ea seIf this application is for an agricultur al bu lding it will be used Lane County Code. Chapter 10 (zoning) and for no other purpose. I have the following iegal interest in the p rope owner of record;con trac t purchaser;lessee;hol der of an exc l us i ve o ption to pu' Fduly authorized trFcI-Tor the owper,-whg is fnowl edgeaUl e of-tfti s-appl ication t hereby certify that this information js true and accurate for purposes allowed by the State Bui.lding Code and rty: rchase; S i gnA ture/Addres s Te1 ephone l,Jhen permi t i s ready noti fy ! Appl icant /_l Orner z1 or Da te Y / Contractor by: / / nail hon e Owner z1 Phone --==- Con trac tor Contractor's 0SR# z1 Phone Plumbing by If Commercial: # of stories Residential: # of bedrooms Sl test holes D0 NOT TJRITE BEL0I^i THIS LINE # of employees # of units -tt SDS: /_/ Exi sti ng , BP # /]1fioposed, SI #ready . Ft. orof Sites Sq # Unit Cos, t Val uati on Fee a $ $ $ T { -'Etal Valuation Plumbing fixtures at s\ewer/water conn. at eac h each $ $/-/ Casn /_4 Chec k # Su btota l $ b $ $ Received by. t,later Supply Pro pos ed Year InstalIed 4ii State surcharge Plans check fee Change of OccupancyExisting -_ TOTAL $ PERMIT PR0CESSING ZoilF Minimum setbacks: t, front .*art. #Parcel #_Parcel Size ( aL, side intx rea \ Comments To be typed on permit By Date \ WATER POLLUTION CONTROL Installation specifications: IOOO gal. tank;ztlTo be typed on permit Te1 ephone Di f t. of drainfield ; max, d h of trenches Da te Da te By ctions to si te 4tl drt ans to CP& I I^JPC set set (s) (s) Date Requ i red Hold Slipto PCC Date to PCC / / STFO /j,f cP /_-i Compl eted C ann i ng Publ ic i.lor(i /_/ Elevation /l Address / / lacllli:, / Envjronmental /_/ n/a Permi t Hea I th ruauwd ,&i/h w a*d rUptaxUW* o,L(A gy d,@,,,eh/<L ftury a--q\ a F0R INF0RI,lATI0N about progress of your application ca1 bu.Lldr,uA rr: &i Controt Center 687_HELp Gg7-43511 ur,Ai$ 4aq Affidavit: I, :l Bl ock t ' I lr., Descriptt'on 4 ? -lu Fee Code $'5\ + ( ffiW "-Al .. DEPT. '-r /UruTV, OREGON luvr RoTvvENTAL MANAG EM ENT CGIFIFIECTICIN NGITICE CONSTRUCTION PERMITS A INSPECTION DIV. JOB ADDR ESS DATE TO NOTE BLDG, PERIVIT c55'73 tE-rNspEcrroN FtEolJrFrEE Fhone fj,f|7-4f|fj,5 FoFl ^aPPFlovAL INSPECTOR 1 LANE COUNTY, OREGON \ DEPT. OF ENVIRONMENTAL MANAGEMENT I CclFIFIECTIclN v'GE CONSTRUCTION PERMITS A INSPECTION DIV. -23-DRESS 2b 33 DATE BLDG. PERMIT NOT t( k- .4 IR LOC ?,&^r OF .z- l.( L 'uu "g FArtt,Phone EiEl7-ACl FIE.INsiPECTIclN FIEGIUIFIEE, 65 FG,FI APPFTOVAL p INSPECTOR I JO TO: LANE COUNTY, OREGON CONSTRUCTION PERMITS & INSPECTION DIV.EPT. OF ENVIRONMENTAL MANAGEMENT CtrlFIFIECTIclN lv, 5 -27 -7DATE BLDG. PERIVIT NClzil*!CE JO DDRESS TO NOT L T L R.s, efr r? c55'-7 t tE-tNspEcrroN FrEGlrJrFrEE Fhone fj,f|7-4(|fj,5 FoFl APPElctvaL INSPECTOR &/ANE COUNTY, OREGON \ DEPT. OF ENVIRONIVTENTAL MANAGEMENT CONSTRUCTION PERMITS A INSPECTION DIV. GGIFIFIECTIGIN NCITICE DATE4JOB ADDRESS TO NOTE BLDG. PERIVIT #q c55-73 FTE.INS PFIPhone 6El7-4O65 FO EOUIFIEE I N S PECTOR I Pz-.prro - aoRRE(f/C, ', <7'tKS LANE COUN DEPT. OF ENVII JOB ADDRESS ECTIGIN N 22J Q) <''/ - CONSTRUCTION PERMITS A INSPECTION DIV. z- //-7 ITY, OREGON \. RONMENTAL MANAGEMENT coFlFl clTICE T A DATE BLDG. PERMITot(I It 0 * N-,t_l/ FIE.INSPECTION FIEGIIJIFIEEl FG,FI APPEIGIVAL \5-73 INSPECTOR!nG! eiElT-4c,65 -/ Or# 7EtwP, ! ecaul*rtru/ e+u