HomeMy WebLinkAboutPermit Building 1978-4-3
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LANE COUNTY PERMIT ~/t ,!,"f{: -I ..?~L l,//' __"./_/,J_'
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Acreage or Lot SI7~..:5 '~'). F ~ Partitioning 4" ,. () Completed SubdivISion /.'
Contractor's 0 S # ;/')" 1',' Lot Block,
APPLICANT'S NAME AND ADDRI=C:C:1(. ;i: tt/v-::f'~"..l:i 4/d37 Q..:zaf.!.<!<,/d:t;/~~~;; Phonp;71/~- ?;~5?
OWNER'S NAME AND ADDRF<:C:--:"'~7?'l,,;r:. " P' ' r ;' ./ Phone_,
CONTRACTOR'S NAME AND ADDRESS~<f<l-/:.'lV rd:/'6';;!VYL/ Y.lf977''-(;#~ , , ' Phonp:"':;: ,j~-
Mall permit to ( ) Applicant ( ) Owner ( ) Contractor (V) Prefer to pick up Call ;70/6 ~r~'e- '/ (owner, etc) when ready
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STRUCTURES NOW ON JH~ PROPERTY l/..,.;Zf/-&G.(.,'F C '71&A-- ~ //e~';t:i:.r1/ ,:'''''::--~'/).~ '.,,:/~dr' /1'-:;
,THIS PERMIT IS FOR~./fjMe'J)jy/ile~~~~.<Lf- # ;EDROOM<;~~ #PLUMBf~G CONNECTIONSh"'fJ-
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PLUMBING BY ,...x.~-"'- /r.dfP ~'L_
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WATER SUPPLY
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
,
I hereby certify that the above statements are true and accurate, and that I have the followlng legal Interest In thp oroperty _owner of record,
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
Fee Paid $ 1/1, if (; Signature' ",.....2.--5<'-';U ?'-.-::... ,-;. ;5~ Dat~ ~/ /,3,-/'17:i?
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(1/'1 NEW ADDRESS ( I FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT AREA MIN ELEVATION '7~
SANITATION
BUJLDI~G UU~E CDm~rjf $FHiU\L rH~?,tlr
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Comments
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tlll"WD.
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Fire Zone
Minimum Septic Tank Capacity (Gallons)
, Dralllfleld ReqUired, LlIleal Feet
MaXimum Depth "
Comments ,(U'.-5''\S "J,.r.l".,-!.,- ()''''~:''..;;r't <2....(77
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PLANNING_REQUIREMENTS SATISFIED By .4. "._. /..-..-'\..--.--
ZONE Ct./'~ p SETBACKS FRONT -5.5.i SIDE FACING STREET
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By I..,~',J/. /:_ C- ,.,,,ft.i/ Date :;-~~{-7)f ""..,...,../
Date' 4' -', - '7 ~;- Date issued ,.-..:::; - It)
(FROM CILI INT SIDE YARDO" REAR~~-(FROM PILI
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
PljST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE 687-4394
C5513
SLOG PERMIT -WHITE BUILDING ~ GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVED Cl
REMARKS
DISAPPROVED Cl DATE
FOUNDATION INSPECTION
APPROVED..c=; DISAPPROVED L-/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / DISAPPROVED /7 DATE
REMARK 5
LATH OR SHEETROCK INSPECTION
ApPROVED L-I D,SAPPROVED r----l DATE
REMARK 5
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL INSPECTION
ApPROVED J:ii::t DISAPPROVED C1 DATE I,I-/()-fe; INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE L::::l NOT READY TO ISSUE ! / DATE
REMARKS
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INSPECTOR
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Plot
Subdivision
Lot
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Plan
Block
C74-1S0
Vicinity Hap
Job Location
Permit II
Permit II
Permit II
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(Address)
For
For
For
Permit II
Permit II
Permit #
For
For
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