HomeMy WebLinkAboutPermit Septic Tank 1988-08-30TD
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Lane County Authori zation for,
SEPTIC INSPECTION FOR LOAN REVIEt^J
FOR OI.PT USE ONLY
Permi- t *
Applica
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t7
RAI.JGE
02
SECTION
4219
TAX LOT
1600
Eour oF
BLOCK
FROPOSED USE OF PROPERTY
X nesidential n tndustrral
f]e,,uri.Cc,nunerc ia 1
s:EDrVrsroNTFARTrrron (if applicable )LOTIPAir.aE:
LCCATIOIJ ADDRESS STRIILT
2410 N. 35th St.,Springfield, OR W478-182O
CI']'Y zIp
Havden Bridee Road to 35th Street; right turn on 35th
-TTREc-fToTS-T0-3ITE
DECI.ARED S VALUEDESCRIPTION OF PROPOSED WORK - BE SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEl,l
# OI] EI"IPLOYEES I./ATER SUPPLY
Rainbow
Proposed
Existi
= OF BEDROOMS
o
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# OT STORIES
1
TELEPHONE NUMBER
726-t4MDonald R. Copeland 2433 N. 34th St. ' Sprinefield
OiINERTS NAME AND ADDRESS
TELEPHONE NUMBERCONTRACTOR'S NAME AND OSR #
TI]LI]PHONE NUMBER
484-9815Greg Brashnyk 1142 Willagillespie Rd. f7, Eugene, oR 97401-2142
I HAVE CAREFULLY EXAI,IINED THE COT1PLETED APPLICATION l'OR PERMIT, arid rlo h.:rel)i certifi, that. all infoiration hereon is true and correct, and that f
the following legal" interest in the property, Iorr.. of record; ! c.rrtra,.'. prrrchaseri filauthorizetl agent
I f:rther certify that any and all work perfomed shall be done in accordai}r,, riih tL': ordrrlances of Lane Cowty and the Laws of the State of Oregon
pertaining to the work described herein, and that No oCCUPANCY will be nade of an., str:rctrrre without the pcmissj.on of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect as required by ORS 70I.055, thats if exempt the basis for exempti
is noted hereon, nd that only subcontractors ed employees uho are in compliance with ORS 701.055 will be used on this project. I HAVE READ AIID
CHECKED THIS APPLICATION THOROUGHLY.
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NAttE (please print)
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION'tAS BEEN BASED ON THE FOLLOWING CONDITIONS!
I pmuurnc,zzoNrNG:Zone Partition f Parce1 #ParceI size
Minimum setbacks, "",front C L,s ide interlc)r rear
COI'tr\lENTS SEPTIC INSPECTION FOR LOAN REVIEI^J--NO SPECIAL PLANNING ACTION REOUIR t-)
Date:B/25188
SANITATION: s. I. *B. P. f rnstallation Record ,"=u.urfi """ n No
Maxirnum Defth
of Trenches
Installation
Speci fications
GaIlon
Tank
Lineal Eeet
of I)rai.nfie ld
CO}I}IENTS:
Date :
D pr,mts XAI{INATI Type Gr Use
COM}IENTS:
c)
r ORS
ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
EAST 8TH AVENUE, EUGENE, OREGON 97401
ING
LANE COUNTY
SEE REVERSE FOR INSPECTION INE'ORMATION ct4-25 R*
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