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HomeMy WebLinkAboutPermit Septic Tank 1978-9-22 -~ 1'" " , , ~y TRS, TI 1 , , ;, -, r... - ; \ r~ ,... \ , ~ - l~r6''Z.-t>'1''--2~t>C7 ~trl JOB LOCATiON '1 \ D 5 ~tvo~....- LANE COUNTY PERMIT ~A " X '~ \; \ \\U Acreage or Lot SI70 Contractor's 0 S # Partitioning # ) Completed SubdlVlslon_ Lot Block APPLlCANT'SNAMEANDADDR'="" \""''1'--. _\,...\.,." \.ol', -\ c_, \1:>""-, \.,1 2~...A. q,'40S OWNER'S NAME AND ADDRES" y.", 1->..\--.', \..J,J \, """,0\\"....' "\-\010, .)r, 0-<" 7' CONTRACTOR'SNAMEANDADDRES~-.'> \r,,'\ \\ \ _,()\--~l~A \,.,.,'"" 'v.J ,;;)C>" \' .<) n \ -,- "I ! 'V Marl permit to ( ) Applicant ( ) Owner ()<) Contractor ) Prefer to pick up Call...:c<:, :1-,,,,,,,~C~. .Jt Phono Phone Phono ,(owner, etc) when ready :-,4~)- t y,LII STRUCTURES NOW ON THE PROPERTY \\1 'fY'Ie~ ( :l. ." '1l "?'-\ ') ~ ' # BEDROOMS n 'f PLUMBING CONNECTION~ () f'"'( '( \')r')\ ~ ~ ._~, ,\-, \ \t '" THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF THIS PERMIT IS FOR WATER SUPPLY SEWAGE DISPOSAl _./ e~ ~ ""v,_ J " S I # , PLUMBING BY . , 'r\(0 Minimum Septic Tank Capacity (Gallons) Dralnfleld Required - Lineal Feet MaXimum Depth /'''1 ~ "I - r- -R-c Comments f t.<l (}e;':: ....; { Q.'IA4J .aJ}1J'IA.. (.xAJ.;({l II I!' J Ii ,i ov W I \..Nv.'-\ I () 6r:- c;f ~~.II~o D<l tA.c) 'f~ . ~~,O CFtr..ilJr' rrt"-' r::n"j,":J. (lY\ if c..'!r( -()J>;"../b. 'o.JlIl o-!!- .... ~"'''\j II .# '(I ,- r~ ;;iJ.Hv\!L ' U /_,-,.(""" II 'I /~" " 7T'/ I ByG.~.r^, .', :'-::O:/lI";r;';,.-'.-__ Date,,?/~(/I../- t By 1'/ _' ~-?/'.}/l.;:r--- Date 41-22 -::4(:' PLANNINGREQUIREM'ENTS1SATIS'FIED By',,- ,IV. \\'" \ ,_ "1 Date '-' '>19) Date Issued q__~,\ _-':. ZONE ';'\..\1:'J SETBACKS FRONT '-,.: SIDE FACING STREET -. (FROMC/L) INT SIDE YARD\S'REAR'20(FROM PILI' \} - - - - LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401 I hereby certify that the above statements are true and accurate, and that J have the following legal Interest In thp oroperty _owner of record, L1 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 th.s action I hereby agree to comply With all applicable Codes relating to thiS permit , , "....." '\ \ . o2.t:.J'-lc.... Fee Paid s:' '\'. . Signature.' .. \ " Date n- -n- _,,- J , ) SPECIAL PMT AREA MIN ELEVATION , BUILDING - I ./n Si' AI Type of Construction (,-';:;" Group ,,- I Jse Classlflcatlo~ V. / - / I - - 5u ~t'4~tft /~~('-' "'..,. :y*" /~< ::r , I ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT SANITATION ::- Fire Zone ;! Comments ~J1,'..tL PHONE 687-4394 C5513 POST THIS PERMIT ON MAIN BUILDING AT SITE SLOG PERMIT-WHITE BUILDING-GREEN PLUMBING-CANARY SANITATION-GOLDENROD QFFICECOPY-WHITE I ~/ ~ SITE INSPECTION -" ApPROVED Cl DISAPPROVED C/ DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVEO L-I DISAPPROVEO L-I DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / I DISAPPROVED 17 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO L-I 01 SAPPROVEO L-I DATE INSPECTOR REMARKS F\~ECTION n~J / ~pn8'E. Cl DISAPPROVEO 17 DATE ,Z;::-z-.ti-~1INSPECTOR )i:.~ RE:ARKS-R'''' 'T ..iS~...'t-1 / )LtE-,' ,~/.2 9 /'7~ ;;4(L,., . " ";9-;-X7 f'-('~;.'~ -- ~'_'17~ /.n.;~ ~~ )1(l'" ;: ~ b 'i - 17'!> r-"'-'" A 2:, 'Jt ,r-C ../ CERTI F I CATE OF OCCUPANCY V - READY TO ISSUE 17 NOT READY TO ISSUE ,1 / DATE INSPECTOR REMARKS