HomeMy WebLinkAboutPermit Septic Tank 1989-05-12u6
Lane CountY th za,tion for,
septic inspection for loan purposes
EOR OFFICE USE ONLY
Applicatio
Permit *
ICWNSHIP
1_8
RANGE
02
SECTlON
06 14 TAX LOT [our oF
8000
PRCPOSED USE OF PROPERTY
s jBDiVLroNAARTrrroN (if applicable)
Hazelwood
LOTIPARCEL
6
BIOCK
1
I,CCATION ADD CITY ztP
1d 97477
RES
Home with an attached and a sma1l s in the back
lvlain Street to 42nd turn on 42nd then on 40th P1
DESCRIPTION OF PROPOSED WORK - BE
septic inspection for loan purposes
DECI,ARED 9 VALUE
43,000
= oF BEDROOMS
3
# OF STORIES
1
# oF EI,IPLoYEES
a
hiAI'ER SUPPLY Proposed1icExisti
oiNER'sdffiEif dBffiB C/0 "rorrn Root, L247 llayden Br. Rd., Springfield, ore.97477 '""7f8*%)Kf"*
CONTFACTOR'S NAME AND OSR #TELEPHONE NUMBER
ss)
John Morrison. Brockett Real Estate Inc"- 115 Oakwav Center. Eup" 97401
TELEPHONE NUMBER
485-1400
I HAVE CAREFULLY EXA},IINED THE COIIPLETED APPLICATION rOR PERMIT, arrd do hereLy cettify that all infomatj-on hereon is true and correct, and that r
have the following legal interest ln the property,[o*nu. of record; Icontra,,t. purchaser;ffiauthorizetl agent.
I frrther certify that any and aII work perfomed shau be done in accordan.ie with the Ordinances of Lane Couty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of artl' st-rlrcture without the pemission of the Building Dj.vision. f fur-
ther certify that registration with the Builderrs Board is in full force and effect as required by oRs 701,055, that if exenpt the basis for exenption
ance with ORS 701.055 will be useal on this project. I llwE RE"AI) NIDis noted hereon, and that only subcontractors md employees who are in
CHECKED THIS APPLICATION THOROUGHLY.
John Morrison 5-9-89
NAME (please print)SIGNATURE DATE
Date:
Use
Date:
COMI1ENTS
B, P. *SANITATION: s. I. *f]v.= flN"
Date
Installation Record Issued?
ZATION I]AS BEEN BASED ON TIIE FOLLOWING CONDIT]ONS
interior rear
Soecifications: Tank
Parcel #ParceI
Installa!ion Gallon Linea1 Feet
of Dr:ainfield
lraximum Depth
of Trenches
READ THIS SECTION CARET'ULLY. YOUR :
size dhPartition *I pmNurnc/ZoNrNG:
Minimun
cor'T}lENTS
Fpff
DATE
LANE COUNTY DEPARTM PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 AVENUE, EUGENE, OREGON 97401
BY BUILDING Der ORS 456
SEE REVERSE FOR INSPECTION INF'ORMATION cL4-2s R*
Il nes idential
[-l conrnercial
fJ rndustrial
flr,.,uri.
971 So" 40th Place
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