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HomeMy WebLinkAboutPermit Building 1978-04-20Sto ilr1 U e?BfsPR I TRS, TL JOB LOCATIO \- Acreage or Lot S Partitioning Contractor's O.S. * APPLICANT'S NAME AND ADDR trqq OWNER'S NAME AND ADDRES s CONTRACTOR'S NAME AND ADDR Fee Paid $- Signature () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT lrln )z7 h. ?L LANE COUNTY PERMIT L-2r-s5 Ap* ) Completed Subdivision Lot- Block- Phone Phone Phone Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )prefertopickup. Call_(owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY |.HIS PERVIIT IS FOR # BEDBOOMS-# PLUI\4BING CONNECTIONL \IJATER SUPPLY SEWAGE DISPOSAL-s.t. # THlSPRoPERTYtSWlTHlNoNEMlLEoFTHEclTYoF.PLUMBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI record; -contradt purchaser; - potential buyer; - realtor or agent. I lurther certify that (il not the owner) I am authorized to acl for the owner of record, and that said owner is aware and approves oI this action. I hereby agree to comply with all applicable Codes relating to this permit. Date sANtrATtoN BU tLD tNG Minimum Septic Tank Capacity (Gallons)Type of Construction roup -Fire Zone Drainfield Required - Lineal Feet Maximum Depth Comments c.r,n."* Use classification c'd Date PLANNING REOU I REMENTS SATISFI ED. Bv Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROrvr P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILOING AT SITE BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GoLDENROD; OFFTCE Coplr - WHTTEc55-13 PHONE:687-4394 trqc Date: SITE INSPECTION E{ DrsappnovE o D (.- q-t1Dare l nspectonAppnov E o Reuanxs FOUNDATION INSP N APPRovEo Rrurnxs DrsappRove o [--l Drre -1F rNspecton q4*< 4- FRAM I NG APPRov E D I NSPECT I ON Dr sAPPRovEo Reulnxs s/#il LATH OR SHEETROCK INSPECT.ION Appnoveo RExaex s UFoiZu(17 ol= * Llze oort /fu AUA 8l qlu TAI NsPEcroR "-2 tr DrsappRovro Dart ! f maeS( tNSPEcroR k) E t{.J €r t LL- L O rt^ lr RcD - FINAL INSPECTION APPRovEo N DrsAPPRovEo Rruanx s oartl 5 tu\ t++Sq I Nsprcron w& CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rrulnx s Nor REAoY To lssuE Dare I NSPEcToR T JOB LOCATIO Partition ing 4, Yt-il "'151 lL t 3 ?,'w "1TRS, T LANE coUNTY PERMIT t -Yl- f { ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE ss Acreage or Lot Si Contractor's O.S. + Comments Phon Phon Phone- s.l. # CONTRACTOR'S NAME AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. THIS PEBMIT IS FO # B ED ROOIVIS-# PLUIVI B I NG CO NNECT IONS STRUCTURES NOW ON THE PROPEBTY OWNER'S NAME AND ADDRESS ' WATER SUPPLY SEWAGE DISPOSA THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUl\4BlNGBY I hereby certify that the above rtatements 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 oI record, and that said owner is awire and approves ol this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signature { )NEWADDRESS ( ) FAC|LtTy pERMtT TO TRANSPO RTATTON DEPT.- ( )SPECIALPI/T. AREA. MIN,ELEVATION:- - sANlrATloN BU ILD ING Date - Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction a"-r""* Use classification By: roup Fire Zone By Date:Date PLANNING REOU IREMENTS SATISFIED. Bv:Date:Date lssued: ; ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FRONN P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL I\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILOING AT SITE C55-1 3 BLDG,PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687-4394 tree ( SLAB FLOOR PLUMBING GROUNU/ORK Aprnoveo H Drsr ROVEO RrttrRx s aor, /o -J ?-7f t*r"rrro^ t? * o/< ?-3/- z e tu/ GAS PIPING GROUNU^/ORK APPRoV E D Reuanx s Dare I Nspecron ROUGH PLUMBING Appnovro K/ Drsappnovro .t..- Revanxs oare 15 4r*gE7 lNspecron W kt+ ROUGH GAS PIPING Aepnoveo D Drseppnove, f7 ReMrnx s Dare I Hsprcron FINAL PLUMBING APPRovEo lfr Dr sAppRovED Re Nrnx s 61 lNspEcron b,),.{Dnre /f ll4aL FINAL GAS PIPING Appnoveo D Drsappnoveo D Rexanx s Darr I wsprcron CERTIFICATE OF OCCUPANCY Rerov ro lssue ReMlRx s / / Nor Reaoy ro tssuE n Dare I Hspecroa D DrsappnovEo D