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Home My WebLink AboutPermit Building 1977-07-11,gi /,r sl. t i i: s ftl. t'' L! +*. $- 'it *1,.*t { TRS, T Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAN/IE AND ADDR OWNER'S NAME AND ADDR lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call CONTBASTOR'S NAME AND ADDRESS Phone- JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot Blo ck Phone ' Phon (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY iIIS PERI\4IT IS FOR # BEDROOML# PLUIV]BING CONNECTIONL /ATER SUPPLY SEWAGE DISPOSA s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF'PLUN/lBlNGBY I hereby certify 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 lurther certily that (if not the owner) I am authorized to act for the owner ol 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 il NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT Date ( ) SPECIAL PlVlT. AREA. IVllN. ELEVATION:- SANITATION BUILDING roup -Fire Zone Use Classification Comments By Date:By Date [Vlinimum Septic Tank Capacity (Gallons] Drainfield Required - Lineal Feet Maximum Depth PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTN4ENT OF ENVIRONIVIENTAL IMANAGE[/ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMtT-WHtrE; BUtLDtNG-GREEN; pLUMBtNG-GANARy; sANtrATtoN-GoLDENRoD; oFFtcEcoplr-wHtrE PHONE: 687-4394 ,r^*,r(/i27a7 )mments: t2 {tu PERN4IT # TRS, T Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAIVIE AND ADDR LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision JOB LOCATION Lot- Block- OWNER'S NAIVIE AND ADDRES q Phon Phone- Phone- s.l. # CONTRACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call- STRUCTURES NOW ON THE PROPERTY (dlsPERMlTlsFoR#BEDRooML#PLUlv]BlNGcoNNEcTloNL I,ATER SUPPLY SEWAGE DISPOSAL Use Classification Comments: By THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEclTYoF.PLUtVlBlNGBY 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 certily 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 $-Signatu re () NEW ADDRESS () FACILITY PERIV]IT TO TRANSPORTATION DEPT.( )SPECIAL PIVIT. AREA. tvllN. ELEVATION: - SAN ITATION BUILDING Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction -Group -Fire Zone , ,mments By Date Date PLANNING REOUIREIVIENTS SATISFIED. B ZON E SETBACKS: FRONT Date Date lssued: SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 914O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG.PERMTT-WHrrE; BUtLDtNG-GREEN; pLUMBtNG-GANARy; SANTTATToN-coLDENRoD; oFFtcEcopy-wHtTE PHONE:687-4394 7 trqq (owner, etc.) when ready. Date - L\ y/a@ l:Leo R' AITE FLOOR PLUMBING GROIJNU/ORK E DrsrppnovE, D Dare I Hs pe cron frt-Apenov eo Reuenx s GAS PIPING GROUND/ORK D DrsrppnovEo D Dare I rspecronAppnov Eo REuanx s ROUGH PLUMBING Appnovro /r'/ Drsrppnovro Reltanxs ,^r, i///o {ppI NspEcron ROUGH GAS PIPING APPRovED D Dr srepRove , L/ ReMrnx s Drr e I Nsprcton FINAL PLUMBING APPRov E D Rr uanr s D Drsrppnoveo D DarE I Hspecton FINAL GAS PIPING AP PRov E D Rruanx s D r SAPPRovED Dare I Nspecron CERTIFICATE OF OCCUPANCY Reaov ro lssue Rrua Rx s Nor Reaov ro lssuE Dare I xspEcron D SITE INSPECTION Dtsaepnoveo Dare I NspEcton I Ap pRov r o REmanxs FOUNDATION INSPECTION AppRov Eo RE unnx s Dr saepnoveo Drr e I ruspecron FRAMING INSPECTIO AppnovEo Rr uaRx s DrtE I NSPEcToR LATH OR SHE Ap pnov e D Rettrnxs I NSPECT I ON Dr snppcoveo Dar e 9*tt-zl rxspecron FINAL INSPECTION ApPRov e o REManx s Drsappnoveo oorr-V - 3! -7L I NSPEcToR L CERTIFICATE OF OCCUPANCY REaov ro lssur D Nor Reaov ro lssue D ReueRx s Drre I Hsprcton D DrsrppRoveo D /--