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HomeMy WebLinkAboutPermit Building 1974-7-25 P "1/' , .4... \. .:- I 't' ~;\~.. ;j i. ... .' ~ PROPERTY OWNER fARL. GA DUL.L -- ~-:;.- LANE ..cou..rY BUILDING 0 BUILDING PERMIT OR MOBILE !-tOME USE PERMIT MH ~ PERMIT NO. MAILING ADDRESS' 1 J 21::i N ,,8T~'" ~p~ I fJr:~ I t'I'n_ ODt'(.)nN MAIUNG- ADDRESS . vnH 30,-2 -?'1 l>H302- 74 . , , I PHONE ~. .' "1h7~Q~,c; . PHONe ~ , ,j" CONTRACTOR PROPERTY lOCATION - INCLUDE POST OFFICE ~A~ HAPfl.nn nJ3J\[~ ~PRI..n~lcrlr'- O.,c-nnN ~-PROPERTY LEGAL DEstRIPTION - METES, BOUNDS . TWP 1:"11 Rt'Si"l: c;~nvl=" RANGE 18 O'~ ~T~ ~~n R_~ 1_~7 SECTION .TAX L"OT NO. . 8; II.;?;;J.. 1i/3 0tJ CODE CENSUS TRACT "'-- APPL. NAME & EXISTING-STRUCTURES ON PROPERTY NOllE LEGAL ACCESS TO PROPERTY HARBOR DRIVE PROPERTY SIZE - FT. WIDTH' 82-. DEPTH 97 . AREA MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms 3 STRUCTURES TO BE BUILT THIS PERMIT. Connect to Existing Sewage System 0 TYPE CONSTRUCTION' 'SQ. FT. :tt BDRMS New System I]) VALUATION MoelLEHoME SEW AGE DISPOSAL . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC' 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW' PARK TRAILER SEPTIC TANK 0 OTHERD "0.00' 4.00 PUBLIC ~ D OTHER TOTAL . ~.OO .04 lSlI.04 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED , UN. F~ 150 I , 1 % SURCHARGE MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. ,I 900 TRENCH WIDTH fT. 2 OR SQ. FT. 300 No CONNECTIONS TO BE MADE 'UNTIL WATtR SYSTEM HAS P'INAL APPROVAL~. AEE ATTACHED SHEET . TYPE OF STRUCTURE r-H OCCUPANCY FRONT BLDG. SETBACKS ~~ FT. 45 /s/ J.E. Boss BY CHARLES HARBAUGH FROM CTR. OF ROAD RIGHT OF WAY' SIDE INT. 5 SIDE E~T. . 110 AUTHORIZED SIGNATURE - DATE REAR BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required inspections. All construe. tion shall comply with Uniform Building Code, D.E.Q. standards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certifi~ate_ot,.2ccup-',?ncy before being occupied. J'lY' /Vf /'/ (See Details an Reverse Side) ,.. . 'I'ORM == C55-13 (POST THIS PERMIT ON MAINBLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONM'.NTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ~.- ., ) -.j ',. 6 ':L $. <:: 6 ~~~ 1-- ~ --<J ~--o ...- ~ ..., ~6 IJ1 "" <:) V) 0--- <;:) ~ . .. ~ \. ~ 0--.. , y -~ " ($ ~. '.} .\... \J ~ '" :~ /' " '3 <V )i(. ":::> - ;..., F\ P (and W(t'j ~2J , " . . T ASR 6 ~ S P( X- TAX LOT CEN~lJ~ TRAfT r=-I / bel"'/ 6-ri;zI'e... 5tt... APPLICANT: n /' NAME I/O AODRESS ~-z L-~ ., BlYILDf.NG SITE EVALUATION I ,;.CI-f ~ JC/~'~ Building Permit Application No. M J+3D':l-7V ( ) ( ) ( ) Site Inspection PHONE DATE Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME OATE aDDl i cab I e I. Zoning Ordinance Compl iance ( ) ( ) ( ) (Zone ) 2. Subdivision Ordinance Compl iance ( ) ( ) ( ) 3. Requ ired Access ( ) <d((;\'~ 4. Bu i Id i ng Site (Area, Width, ( )00 () Frontage, Setback) 5, Other (see comments) ( ) ( ) ( ) COMMENTS: - BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDDl icab I e 6, Plans Subm i tted ( ) ( ) ( ) 7. Soil Stabil ity (foot i ngs) ( ) ( ) ( ) 8. Flood Plain ( ) ( ) ( ) t~~ 9. Ot he r (see COfM1ents) ( ) ( ) ( ) tj~;;o~?t,t COMMENTS: V - SANITATION SECTION NOT NO YES J~ DATE app I icab Ie Z/;;)7~ 10. Sewage Disposal ( ) ( ) ( .) , II. Us ab I e Area . ( ) ( ) ( ) 12. Water Supply ( ) ( ) l ; 13, Other (see Comments) ( ) ( ) COMMENTS: TO APP LI CANT: 1- d- ~~-11 ~ Yo~Building Permit / Site Inspection: (vj Can be approved. () Cannot.be approved at this time'as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 through 13 contact the Lane County Buildinq and Sanitation Division, Wil I be held in this office until you can resolve the problems indicated. Is being returned. Your building permit appl ication fee is being returned under separate cover. ( ) ( ) ( ) LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East,' Eugene, Oregon 97401 Phone (503) 687-4065 C55-28 ~llll l " , , , ..' .~ ~. LANE COL. .rY BUILDING 0 BUILDING PERMIT OR MOBILE nQME USE PERMIT MH ~ PERMIT NO. ~~j02-74 MAILING ADDRESS PHONE PROPERTY OWNER rAAL l:i. OULl_ 112.. III 'j8TIJ Sl>,,''''''O''~'n. lh....".. MAILlNG- ADDRESS 7h.'7_Q<tAt:: . PHONE" CONTRACTOR k "~I. ':"'." f..... 4';~:;'-!"; PROPERTY LOCATION - INCLUDE POST OFFICE roBll14~R""" l'!;!.V", ~'p",...t.l",...n. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS - t'htrrn.tw TWP ~'IAIl"~'" ~Q-,,)\,,:r RANGE ';YJol. ~nn SECTION Roo::>. I.'" :TAX t..:'OT NO, CODE CENSUS TRACT 18 0"1 ~ 28 APPl. EXISTING STRUCTURES ON PROPERTY ftOIlLt LEGAL ACCESS TO PROPERTY !fAtlDOR OIl I Vir NAME & MAILING PROPERTY SIZE - FT. 82 DEPTH 97 AREA ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms 3 STRUCTURES TO BE BUILT THIS PERMIT WIDTH Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ;; BDRMS New System I1J VALUATION tI'.oO 1 L & HOIolIt SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERD 1 i& SURCHARGE: '50.00 ~.OO 'i).CO .04 (111.04 COUNTY BUILDING & SANITATION SPECIFICATIONS PUBLIC l'!!I o OTHER TOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. 900, DRAIN FIELD REQUIRED UN. FT. 15'0 TRENCH WIDTH FT. 2 OR SQ. FT. 300 ~o CON~tCTtO~O TO at MADE U"TIL ~ATER OYSTE~ HAC rl~AL APPROVAL.. Atlr ATTACHEO SHltET. TYPE OF STRUCTURE Mi OCCUPANCY FRONT. BLDG. SETBACKS__ 45 /0/ J. E. FT. FROM CTR. OF ROAD RIGHT OF WAY l!o SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR ZONE PUBLIC UTlL. EASEMENT RA.- r4i USE CLASSIFICATION 7 DATE J. 5HOOI\ 1.25-14 Be> Boss BY CHARLe5 HARBAUGH BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD Coli 687.4065 to schedule all required inspections. All construc- tion shall. comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering ~ plumbing. All buildings require a certificate of occupancy before ; being occupied. (See Details on Reverse Side) FORM =C55-I] (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 '-.......'.-.-~- " SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ;---y DISAPPROVED ~ DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED ;---y DISAPPROVED ;---y DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED ~ DISAPPROVED .CJ DATE INSPECTOR REMARKS ROUG~ .GAS PIP I NG ApPROVED .CJ 01 SAPPROVED / / DATE INSPECTOR REMARK 5 FINAL PLUMBING ''''''"0''0 = ,,;,lJ'.-)L ,".,,,,~P ApPROVED ;;g:!J REMARKS FINAL GAS PIPING ApPROVED .CJ DISAPPROVED ;---y DATE INSPECTOR REMARKS CERTIFICATE OF OCCUpANCY READY TO ISSUE / / NOT READY TO ISSUE ;---y DATE INSPECTOR REMARKS \~ \~ . ^ ,'. i.,,'(:- ~1 , " I ,~ I ~,~ -I '. J_ . ':" PROPERT:-" OWNE~ I " . :".... ' , EAIlL G. t CONTRACTOR - " i ., /\'\ lANE C~__NTY BUILDING 0 " . .~ '--', . Dull. BUilDING PERMIT OR MOBilE-HOME v MH ['] MAILING ADDRESS , 112'\ H 158TH $1'11 ..... "'Tn. OII~..o.. MAILING ADDRESS USE PERMIT PERMIT NO. Mi"Z~71t " , . PHO~E 7h7A~ . PHONE- ';',~ .. i TWP , "I UIEnl SJl.OVE RANGE '>TH API'l SECTION 8-2.. t..~1 TAX LOT NO. CODE CENSUS TRACT , L4, '~:~ .1. " rPROPERTY : LOCATION - INCLUDE POST. OFFICE JOe3 HAIl.BIl OR'Yt.SPIlIND'I~LO. LEGAL DESCRIPTION - METES, BOUNDS - OIufto.. .PROPERTY Ie O~ !8 I I i -'APPl. NAME & EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY HAIllllllI OItlYE 1"1 MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY' No. of Bedrooms 3 PROPERTY SIZE - FT. 62 WIDTH DEPTH 91 :1 , {' ~' . :1 AREA New System'l ~ "1 VALUATION~.\~::)t . . :.,. , ..,::::- ~ I j I STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing TYPE CONSTRUCTION Sewage': System Dl SQ. FT. ~BDR_~S lib. I'Ll HONE '.t',.,'" ;....,., .,,~, 'r l).-: , - , 1 , , ' 'r,.,t- :1; 1:::,~:E ;'SP,OSAl PLUMBING INSTALLED ,BY.__' . SEPTIC-.TANK 0 OTH'ERD \: OWNER ,0 OTHHi:' NAME', , WATER SUPPLY .> ~.w 4.~ ~EES-'\ :if,' ,:i!] ~,~:. -", ,;,1'.,"- 'i'I" D OrtlER;:' ';=':~" ,:f:';, " ~U1LDING, df~ it ViA.STE-"D'S~OSAL . ' ~ ._t,), '..\-~9""!~''''c.... " -' 'PLUMBING":-, ..' ,,- "'1"': " ,~,-,- _~,:~LAN>~REViEW:,-+d- .'. .. ;c: ~.~;F',f'~~trt;~i'.'''III!!.t1Alift ~ ~~Li- . '_~~~:.^ -'-:.- ~~ . \. .. TOTAL-,'.-_ " ,,' .';".~t :-t r. ,; ;S - d'J..1:.':''"::'';:.(,:. ,.: {~I~,~_:,S.~_~T1~:&~~~~~A~,~,~~:~~i~t'.:";~ '. I , , . WITH; Q,I~n BQ..X:,GA~..." tJ." .see ~ ,~,.~~,;6..~,- ,-"...:~;__,~,{,:~:< r' ..: i ~'\ 'i;':.c':~r;!t':!ONIIi'i!'Jt~l()II' "TOK "'A.at IHIT Il" ~(1ttYITEM.HA';\'( 'HAi, ,\.'..\lA'\... . i'" .1 f~:' ~ 'r~:r~_~:' ~~'~<.-:,~".~ 'i,~.. ... '..'!,l:t.~\;tf~ JI." J:_"' '~:.t~,~,..,.",. ~. .,~:" L.(~-, . ,; "of ~y ~'j~,. , 1 ,)'P:~~' ',).,~"" ~, , . J .}J,' t~./ ~~ ~> -lTY~E C?\~'STR9SJ.~~E' n.,,-" OCCUPANCY' ~i.{ '.:.:>; , :,A~ '?~~'I!lJ:- j. :b; , ' .:] ;"; .! B~9:G., SE}BA.SK~t:-f.T>;~:;~:?~' S~~. OF' RO"AD RIGHT. OF WAY'_ ,'., >v;/": ~ j FRONT -_;' ,~ '.. SID.E 'INT. ~ SIDE EXT. . ,REAR ) t-' ,-I ~ '~'''~~THORIZED SIGN~TURE -; DATE. . . -". ' .., d.l. 'a..S' Iv ClIA_I.U ~1l.AU8tk,; i'," . ~ ~ '., < ' " -"I> ,.;{" PUBLIC: , jp.1J!.7 .~ 0'J.U't ..., COUNTY BUllDINC;"'&~, SANITA TI()N DRAIN - FIElD'--'REQU-IRED 1$\ }, , ;',' '.. ~}~, SPECIFICATIONS, .. UN. FT TRENCH WIDTH FT. ! i-', '.'. .,.,- ".r " :;""\(',._\ .; '~'l.(\'"' . :-'~'" '~', , \ ., .. '- . " : ~\ . I " , I - , .. t,;-~"__-,, ZONE: . lr.\:..... USE CLASSIFICATION 7 ;l" J. 5"80.1( , \ j .~ I '; , " BLDG. PERMIT::'::' WHiTE JOFF1,CE COPY,~:WHlTE~ COUNTY TAX - PINK ' PLUMB'NG'-C:ANA_~Y ""BU llD I NG-7.G~{EN -_. 'SANITATlO~ ....:.:.GOlpEN.R'OD ~' -' ,~. . IMPORTANT: f; ~ ',,:';" -1t "t 1;, \.:;:;;~~.' \\ .tl" ~~ (POST THIS PERMIT ONMAIN,B~DG. AT SITE) LANE COUNTY, DEPT, OF ENv'IRONMENTAl MANAGEMENT . : "" _','k" ,.;"',', ./ .J,?RML: .~-'~S .:~'C~~:~~~i2;:;~,>{~:i: .'i-.~~~j~jj ~.~. . CO~RTHOUSE ;AN~EX';.;0:~_E;;:,~~::. ~:~~GON 97401, ~ ,'" , ~\ ~.-j:",... , , :j':', ,~,~, '-:l'..f..J/ S!TE I NSPECTI ON ApPROVED ~ . DISAPPROVED ~ DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED 1--/ 01 SAPPROVEO 1--/ DATE INSPECTOR REMARK 5 FRAMING INSPECTION ApPROVED / / DISAPPROVED /7 DATE INSPECTOR REMARKS LATH OR SHEETROCK .INSPECTION ApPROVED ~I DISAPPROVED ;----] DATE INSPECTOR REMARKS FINAL I NSPECTI ON ApPROVED ~-&SAPPWV,ED/J~ DATE' /INSPECTOR REMARKS' y~ fU;Jj;-,?I/{C/~ CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS 11 H J ()J. 7,/ f)~ :? D ~J I ' 76~ Jl)? UI..t" .. '~ROPO~ SEWAGE "~~'ISPOSAL SYSTEM RECORO' - ~., .' ~:\ '1 NSTALLER :X' Comp 1 ete.to.p'pa..f' t of form' to:'; i.griature and submi t ,both cop i es i th app ).i cat i ~n'; . .. . '"/hA/YJ' A/.. '., . 'p RMIT NO. M130<:'-74 Ji ... INSTALLER r S -NAME .'" . :' .' PROPERTY ADDRESS. . .' .' ." . . . . HA~BOR DR rYE' ."' 'No. Livin9Units, :.~edroo,m.s.. Baths Basement., ,Wate~'SJuP&., .. ,...;. . ,/'.::s., . ,OJ Yes '. No 'Publlc~ Other-LIst Septi"c Tank:., /' '. .'. . . .': "- Ft. ,f~om wel,Y S'teel D." Concret'e ~,~: ,cOmpartm~nts / Gal. Capacity /,dJ,,::L&:? Inside Dimerisions::-Ft. Tile Disposal Field:",..' Lensth W'i dth Di ameter . .Deoth' '0 istr i b'u't i on Box: Yes.,/ No' OWNER Other. Di str i but! on"Type i .. NAME. EARL' DULL' . .:. . Feet fr.om. WEn ,," '. lot Line.. SPR 1,~Gf"1 ELO,.OR"EGON . . Front Length oj.. Lines~Ft. . ,,[TrenCh .,. Total Sq. 1.,Ft. .Between. 1.r6'2 {-i3. 4. 5. 6:. WiatliL F.t. f tf?t? 'Lines /~ :'lot Plan (see instructions!.:',. /0' ~ ~ ti\ '. :.,,~.'f \~ ~ , I f . ~. .. ~ '0 51111>>' .' '-..1.' .W:6 .,;..J.. :-J: " .. ~ ./- r CUI'I? . _ }tVl- R IV h k/Y" _' Rri'l"'f'..:....d=_~ ' . DateU/.... ;1'. /97"V.. '. , . . , 'Signature ;X..?~/f ~ Yu/f . t.' / CERTifiCATE OF SATlSFACTORY'I!OMPLETION -. '- ~~ For"Sanitarlan Us'e Only:'. ". ' . Date: c .,f, In.. accordance wi.tti 19.73 Oregon Laws 'Chapter 835. Sect"ion .214 ,this. certifica'te is iss .'( . as ev~dence.o{ satisfactory.'cOTpletionof a sutisurface'sewage.'disposal system at the above locatIon. ....... .. . , . 0C1 Appr~ved:' Syst~m 'fnstal'lation conforms to current standards , '0 Disappro,!ed: 'Does- not conform to',current standards" Remarks: . ., . MAILING ADDRESS 1"25 N:' 58T.H ~ EteE ~V\E D. ey AU)-;O 51974 . . LANE COUNTY ENVIRONMENTAL MGMT, . -', ~' iJ .< . ., C55-1I .' Foundat i on .. Side Rea r 'IFille'l-lF.i 1 Jer:Depth. IFi Iler Below Tvoe! '? Above Ti le.2.. in.lTi Ie d? in. , Co" ......../ \ ' "-If.:/...\ . (. ( "'.' .( .1 I .. ( ~rj' \: '\..1\/' t.~. ( : ( . .. .f ( .--- l -!o~\ .. c1\ . ::t, I,,;(bh-) ''- % , )~50 .b, ~ -=J' '. . fl1:.tf . 'Q '\ :--' " L7? Y 8 /~fr: OL{) to.' {)~p ., . ,?1ff!M ;..::uIUM, , . (/ -San i ta.r i ar{I~S ,_ gnature . "LANE COUNTY ,,' DEPARTMENT OF ENVIRONMENTAL QUALITY, STATE OF OREGON I; ~ PROPERTY OWNER r/? .. I CONtRACTOR --..... . -'''-".-- -,..., LANE COUNTY. BUILDING PERMIT OR MOBILE HO"~ USE .Pf'RMITTYPE - BUILDIN" APPlICA TIO&l'PI . PERMIT :;//(.3'01... ...1)1 PHONE (1',.... nllll D. MOBILE HOME [')rose REG # . M~ILlNG A~DRESS .;J. <:"'"') . II ,;:;1 ~. 11 ,12(-.- ,:)09 MAILING ADDRESS l '. 79'.1-rt'l.J> (, PHONE ! .s'D k1 , PROPERTY LOCATION - INCLUDE POST OFFICE r-:?I/Y3 l-I,'1r/-.."'>- 1Jr,',iQ c;';, ~ ,'", (0 \-.' '" U .iJl---f' I I . l \- tJ. Pel.), ,1':0 JJ TAX LOT # - CODE: 97"77. DYE o N( ,:::f Fd-':d_J:..1 a". 0 ~.(. SEe. ,.,;?Y .' J METES & BOUNDS . Boc k:::, Lo7- ,5'7 ATTACHED . 'CENSUS TRACT PROPERTY LEGAL DESCRIPTION LOT - BLOCK -,. SUBDIV. TWP RANyE If{ APPLICANT NAME AND MAILING ADDRESS .C:; a h, '" DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY '" 0 h 1'" LEGAL ACCESS .TO PROPERTY - ROAD -i'I.A~ME OR # 1-/ (;II:" fun. 11 fl' .; .e.... PROPERTY SIZE-WIDTH DEPTH AREA .' 'is .:J ..9 7 .' ../. Connect to Existing Sey.t.oge _System 0 TYPE CONSTRUCTION /"' SQ. FT. /. / / / PLUMBING INSTALLED BY OWNER 0 OTHER 0 NAME PLANS FURNISHED or New System Req. ~ # BEDROOMS VALUATION FOR MOBILE HOME PERMIT ONLY ,g Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT' SEWAGE DISPOSAL PUBLIC 0 BLDG. WASTE OIS. PLUMBING PLAN REVIEW PARK TRLR, TOTAL' < SEPTIC TANK ''lfJ I - FEES NO .Is OTHER 0 WATER SUPPLY PUBLIC ~ PLUMBING FEES ~THE/ . FACILlTY.PERMIT .,'0 ~ 3n YES 0 NO-Jg . YES 0 ~.I"TUR~ ".:...~PPLlCANT . . -r~U(~ A") ~//./ ':'" .';E~ RECEIVEo.z:;y -, & ~ ,~: . , PERMIT # / DATE 7' A-?"I DATE, CASH 0 CHECK n ~ FIXTURES SEWER' I CONNECTION'F ~ Cf 9:4 P..t:: /'1 JI~Q J7l./ -r- '\. COUNTY ILDING & SANITATION SPECIFICATIONS "'". JRAIN FIELD REQUIRED 9 c> I.::> ,.. / l.,N. iT.lbCJ TRENCH WIDTH FT. .::2... OR SQUARE FEET ~ () C'\ C.C>h^::r..'."-1~ io"be. J??Qc/.e Urd/I-/nc,.te-r- <;:J.;:.-Ie~ s:;.c GtfQG~cd.sh'-e.i-.. "L MIN. SEPTIC TANK CAPACITY, WITH OIST. BOX: GAl. N,"> h~g TYPE OF STRUCTURE . Se I'lf) ( ~ ;, rL/ aj;/Jrov ~ / / !It , ,. . 411 H '. ~~CU~ANCY. . ~I ...) FROM CTR. OF ROAD RIGHT OF' WAY \- . . .lONE REAR YARD PUBLIC UTlL. EASEMENT iR-A-M4 BLDG. SETBACKS -'FT. \~NT '1",.-- SIDE INI. :;;-, SIDE EXI. ~::~o ::~~:"<o.. .,,~ COpy _ 1 -:- OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # CS'S'lZ .USE CLASSIFICATION 'Y'o REAR ;7 Date BLDG. INSP. f/34e1(7-~ 3-'7t" A :?-/~~7 ,;