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Home My WebLink AboutPermit Building 1977-07-12TRS, TL i'7- cn - 3G -/Y\5(T) Vfritten Directions ( ) guitding Permit /'3 aerej Acreageor Lot tr"JlEb P v /QQ Partitioning #- ( )Completed( ) Pendi APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if dif from applica t,S CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site ( ) Prefer to pick up. Call feasibility stud yto ( ) Applicant ( Job Location INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Test holes will be rea Subdivision \q.qb\ L!3- a<?f )Owner ( )Contractor Lot - B loc Phone Phone Phone O,&?-?Sff Contractors O. S. # #Zqq existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l (owner, etc. ) when ready. STRUCTURES NOW ON THE PROP T PROPOSED USE (this permit) WATER SUPPLY SEWAGE DISPOSA PLUMBING BY () PROPERTY IS WITHIN ONE MILE OF CITY Address ***rr'. oFFtcE usE oNLY BELOW THtS LINE r**r***++**r ( ) New Address Necessary ZONE- ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation SETBACKS: Front Side Facing Street lnterior Side Yard Rear - (FROM CENTEBLINE OF ROAD) (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Sect ion Response By DEPARTM ENT OF ENV I RONMENTAL MANAGEMENT Permit Processing Section '125 East 8th Avenue 687-4394c55-1 2 D ivision I PERIVIIT # TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Blo APPLICANT'S NAME AND ADDRE qq Phon tr OWNER,S NAME AND ADDRESS Phone- CONTBACTOR'S NAME AND ADDRESS Phon e STBUCTURES NOW ON THE PROPERTY- THlsPERlV]lTlSFoR#BEDRool\4L#PLUl\4BlNGcoNNEcTloNL IVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready WATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the paoperty: -owner oI recorJ; _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 ( )NEWADDBESS ( l FAC|LtTy pERtM tT TO TflANSPORTATTON DEPT.- ( )SPECTAL PN]T. AREA. l\41N. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date: BUILDING Type of Construction a..,"""* Use classification By rou p Fire Zone Comments By Date PLANNING REOUIREMENTS SATISFIED. By:Date ZONE:SETBACKS: FRONT SIDE FACING STREET (FROtM C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL TVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687-4394 Date lssued: PROPOSAL Ttre undersigned proposes to furnish all materialr and perform necessary to complete the following: $2,2 Dear Slr: d to be manner for the sum Payments to be made Dollars the work progrtesses to the value 6f. =---(------?7)per cent of all work completed. Itre entire amount of contract to be paid within____:--__days after completion.Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executeduponwritten orders for same, and will become an extra charge over the. sum mentioned in this contract, All agrreementsmlstbe made in writing. Respectfully submitted, By ln rhe contractor agrees to carry workmen's compensation and Public Liability rnsurance, also to pay all Sales Taxes,old Age Benefit and u!employ-"..t cot rpensation Taxes upon the material and labor furnished under this contrait, asrequired by the United States Government and the State in wfrictr this work is performed. ACCEPTANCE Y-ou are hereby authorized to furnish all materials and labor required to complete the work mentioned in the aboveproposal, fpr which the undersigned agrees to pay the amount mentioned in said propisal, "rrJ .""o"airrg to the terms thereof. ,. MFD- Xorm 1l? riANX i. WALKER CO.. 'U!LI3HEB, CHrcrc I t17E-11 PERMIT # TRS, TL JOB LOCATION Partitioning # LANE COUNTY PERMIT L-38 lL-n-'?3 Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE ss oWNER'S NAME AND ADDBESS Phone- CONTFACTOF'S NAtUe nruO eoonrs Phone- l,ilail permit to ( ) Applicant ( )Owner ( )Contractor. ( ) Prefer to pick up. Call- (owner, etc.] when ready. Phone- .TBUCTURES NOW ON THE PROPERTY- THlsPERMlTlsFoR#BEDRooML#PLUlV]BlNGcoNNEcTloNL WATER SUPPLY SEWAGE DISPOSAL S.l. # THlSPRoPERTYlSWlTHlNoNElV1lLEoFTHEClTYoF'PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the prcperty: -owner ot record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certifv that (if not the owner) I am authorized to act for the owner of recrord, and that said owner is aware and approves of this action. I hereby agree to comply with allapplicable Codes relating to this permit. Fee Paid $Signature Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA IVIIN. ELEVATION SAN ITATION BUILDING Type of Construction roup Fire ZonelVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Use Classification Comments: Comments: By:Date By Date PLANN ING REOUIREMENTS SATISFIED. By Date Date lssued ZON E SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONI\4ENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG. pERMrr wHrrE; BUTLDTNG - GREEN; pLUMBTNG GANARy; sANrrATroN - GoLDENRoD; oFFrcE copy - wHrrE PHONE:687-4394 d \r-f SITE INSPECTION AppRovEo Rrunnx s Dr sappnoveo D DrrE I ruspecron FOUNDATION INSPECTION D DrsAPPRovEo fa Darr I ruspecronAppRoveo RruaRx s FRAMING INSPECTION Aepaov r o Rrlranx s D DrsrppRovro D Drr r I NS PE croR LATH OR SHEETROCK INSPECTION Appnovro Reuanx s Dr sappnoveo Dar e I Nspecron FINAL INSPECTION Ap pRov e o ReuaRx s D Do''/242-W.Drsappnoveo I NSPEcToR c-zu A,r< CERTIFICATE OF OCCUPANCY Rrrov ro lssue ReuaRx s Nor Reaov to lssur DarE I HspecronD -