HomeMy WebLinkAboutPermit Building 1979-5-23
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JOB ADDRESS: 4655 Jasper, Road, Springfield, Oregon
LC-1286-79-MHT
POST THIS PERMIT ON \,MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
,TRS, TL: 18-02-05..1'1 2201
Subdivision: na '
This permitJor the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed, Violation can
result in revocation of this permit, citation under' provisions of Lane County's Infraction Ordinance, andlor other remedies allowed by law.
Applicant/Address:
, Ownerl Address:
Contractorl Address:
Contractor's OS #
E. Dwayne Stow, 4637 Jasper Road, Springfield, Oregon
MR., & MRS. K.L. Woolery 4637 Jasper Road, Springfield,
Jerry's Mobile home Trans.
21622 Total Construction Value: I
97477
Oregon '
Telephone:
Telephone:
Telephone:
746-9567
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Construction approved by this permit:
Water Supply: we1.
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
,Interior pro'perty lines
,Edge of road right-of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PERMITS/INSPECTION
DIVISION, .
Directions to Site:
Date Issued:
05-23-79
C55,13
1972'Broadmore, 12' x 60' single wide mobile home.
Structures now on property: one TMH, MH and storage, shed.
# Bedrooms:
# Plumbing Fixtures:
# Employees:
3
2
na
. Zoning: Agt Partitioning # na Parcel # na
Minimum required structural setbacks, from: centerHne of road, front: 65'
side exterior: na" ; interior property. lines,:' 15',;rear property line:' 20'
Special lristructions: , .',
Parcel Size:
; ,centerline'of road,
3.57 acres
For information call 687-4394, Roe:er Hollis
Site Inspection # na I nstallation specifications: 1000
na 'lineal feet ofdr'ainfield required; max. depth of trenches: na
. Special. Instructions: A septic tank 'and effluent lift pump ma;y be installed with
temporary mobile home. Temporary NH is to be c!>nnected into the existing
drainfie1d. Reserve a .rep1acement area for drainfie1d.
Do not drive over drainlines.
gal. min, septic tank capacity;
Septic Tank
,10'
1'0'
5'
50'
Drainfield
10'
10'
10'
100'
For information call
687-3962between 8:00 - 9:00 a.m,,, Greg Grav. R.S~
'MH
Type of Construction: IfIIt Group: MH Fire Zone: 3 Use Classification: SFD
"nstructions: Provide 'footings and piers to comply with' state foundation requirements for mobile
homes or as recommended by the mfg. that are attached to the inside of the mobile home.
Also, provide skirting as required. See reverse for required inspections.
For plans information cali 687-3760 between 8:00 a.m. and 9:00 a,m., Ralph Hough
F.or inspectiol)s (see back of this permit) call 687-4065 between 8:00 a,m. and 5:00 p,m,
bne county
~
Down 42nd Street, (turns into Jasper P~ad, only MH on right
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
12S EAST 8TH AVENUE, EUGENE, OREGON 97401
By:
past Clearwater
John E. Bossily
Lane.
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LANE COUNTY DEPT ENV MGT RECEIPT ~ ' 128679
APPLICANT STOW DWAYNE E. DATE 050879 TAXL.OT 1802050002201
, :SUBDIVISrON LOT BLK
, ~NEW-BCDG-TYPE-MH-USE-R-NO-BDRMS-03-NO-UNI TS-001-NO""'STOR I ES--- -NOnBCDGS-001
CODE APPL NO. ACTION DESCRIPTION SQ, FT UNIT COST VALUATION' 'FEE DAYS
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MH Lt 128679 TMH
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, MECH
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SW 12X60 BROADMORE
NO:-CONNECTOr~S':
MECHANICAL FEE
STATE SlIRCHARGE
Pl:AN-CHECK-FEE
4-:-00-EACH-'"
'30.29 1
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WPC
PLAN
EL.EV ADDR FP
COMPLEl'ED BY
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TOTAL FEE**
66.90 CK -
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FLOOO PLAIN MANAGEMENT
Department of Public Works
125 East 8th Avenue
Eugene, Oregon
687-4195
TO:
V PERf,1IT PROCESS ING
PLAimING
PERr1IT NUMBER I t-.I\ 1-\ \ 'Z.Pk,""1 q
PARTITION NUMBER
SUBOIVISION
PUBLIC WORKS
OTHER
SITE ADDRESS /..fI"rr -IMPeA ~D
SITE IN FLOOD HAZARD AREA
YES
YES ~
NO f~
NO
PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT,
SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL
BE REASONABLY SAFE FROM FLOODING, MOBILE HOME TIE DOWNS REQUIRED.
SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA,
1. MINIMUM FIRST FLOOR ELEVATION OF (M.S,L,) REQUIRED,
2. MINIMUM FOUNDATION ELEVATION OF (M,S,L,) REQUIRED,
3, MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOME
WILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION.
4. SITE LOCATEO (.!THIN A DESIGNATED FLOODWAY CHANI~EL, BUILDING PROHIBITED, ~
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RECOMMENDATIONS:
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DATE
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BY
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C99-21
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, , 'i'r:MPORARYt MOBl!./-: IIOMF:, PERMl T .' , _l.>~:-:"I"'~ :'1>' ;JJlI~' ,~;p'l,~
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POSTINC DATE ~-' 1~-1q., '1:'" ,',. 1,'[" ~:
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'! "HAS REQUESTED A TEMPORARY MOBILF. HOHE PERMIT FOR A PERIOD OF ONE"YEAR AS 'i:I~"1 .
I' I"PROVIDED BY LANE CODF. ll,lOO-lO(4) :", '1 ': "';\, :1;1:1~1'1:: I. ":I'I"I~li ,,'
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A personal but not necesSar lly financial, hardship 'I'" 1 I, ' I II' ..", ,'~,
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: ')('1:':;' exists whereby it 'is necess,qr.. y to have Someone living on ' 'to, [' "I,ll I1I1 ,,"1' 'I"' 'I":'f"
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I the s ame premIses. that support the applicant's dwelling or 1 1'1 I' II,' '<:'" ~;'I,~,t}i.':' I,'
. 'I' ";obile home' I I. ! '[ I . ' , 'I "I ' "II i "I',,'i 1,\:l.ll~:":"F. '
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'0 I The mobile homt~ will ,be used for the applicant's persona~,'~\, t,l! :'l::j~;.i::~l"",:":~:.
J use dur log the time a convent lanaI dwellinR is. being con).'; ." ~ I .1,.,: ':''':~; "","~-~:'l.,:~ ~
'I "tructed on the premise6, after which it will be removed;" I[ i :,', i."J, I:~~,...
O 'I The mobile home wUl be used by an employee of this applica~t' I' :~::;,',:,);'::'>
for bona fide 3~ricuL.ttlral, forestry manap;ement, or minerall ,I ' .':t,,:",!t'~'.'c,
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extract on purpose~; , . '1 I l' ",~l:,.."'(:;:-:,:.,
The mobi j e home wi II be used for resident ial purposes for a I" 'ii" .,;).:,':,
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watchman n[ caretak/:r't jn conjunction, with a connnercia orjl' :'$t,;1,. ~~~,',,:~t
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I ANY ~F. IGHBORINC 1(J~lll)l N'I' UB.I,ECT I N(; '1'0 TIpS PROPOSED USE ~IAY CALL T1jE " j. 'I", ':' r":,:.A .;,
IlJEPAI\TMENT OF ENV I RONNENTAL' MANAcmp:NT f'OR F1JRTHER lNFORMATION ,11~~i N? I '\i'!~~,l'~t}'.,
WRITP:N OBJECT IONS ,IlAVE Hr:r:N! RF.f:EIVED WITHIN TEN DAYS AND THE PROPOSED :' ;;11:':',1!/'-...
lISE ~[EETS OTHER CRI,TERIA THIS TEMPORARY MOBILE HOME PERMIT WILL,IBE It, I, 'I : "ijj,):;,~;,,~~
lSSUW FOR A PERIOD OF ONE YEAR. RENEWABLE ANNUALLY 'I ' 'I, ii', , " I ';.' : ni'I'" 1,(, ,
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DEPAHTf1ENT OF ENVIRONMENTAL MANAr.EJ:lENT ; _II, ,. I" "".,.". ."
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PUHT,lC SERVICf: mn LDINC 68F~0651, ' . ::"',i :~"."
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.LANE'COUNTY
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Applic~ti'on 11)g ~lo~191.M If for
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WORK SHEtl
Construction Pennits & Inspection
MJ.t' Type of Construction
~Group
3 Fi re 'Zone
,-) ~ 0 Use Classifica tion
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Ar{{A/,I{v-O ,(o_d}(v I.hL/)I{)~ nf '{U:8~n~\\.I~J \.{OMf/, ~'1/5() 1/1-?o\IIr76
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Date ~--~~..-u 1'1 ~
_" . /,1 '- L-/ - Signa tu re
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........- DEPARH'IENT OF ENVIRONr~EinAL f1MAGEHENT ....-,......
PSB, 125 EAST 8TH AVENUE '
EUGEr,E, OREGOn 97401
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Job Address
LA0 e.
Lot l~ - Oz. -(")!"l .#
City
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Assigned Numbers
,
Township, Range, Section, Tax
Subdivision
Application for ...rl"'..u.P ,\,,\1'>1">.11...., vr/"lAA '?~
Structuces now 0~1the property r"N'l'n'rlAJI. WI. . . lYl",f'l. I ~
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Proposed use-of property: ILl Residential LI Commercial
Affidavit: I, J?, l)uJ/J 11..",0 c'-Jnu/
,(please print)
If this application ;s for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapt~r 10 (zoning) and for no other purpose. I have the following legal interest in the property:
i owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
&~ duly authorized to act for the owner,. who is knowledgeable of this applicati~
Signature/Address Ou.1Cl>\'M'.:l.L >>tn,,) 4t,:;,37 ?'m'S,1.")or Or!, '7rr->.l:rl
" , ,~,' -, J I . (J '
\Telephone 7,,*",-q~ 7 "or Date
When pennit is ready notify: /;.;i~Applicant /-/(Owner /-/ Contractor Qy: /~/ mail
Owner AJ\.\2. -V IU..~<;(' 12., L, lu,.,.';ILr-t Jl<' (nbmrt' J (zip)
Contractor 1'\() t"rU,.-' 's A.lf"lli1~'l...D, H~ 0'" ~II^^ s1 (zip)
Contractor's osR/i ~ .Q~?? Plu~bi~g by :;><.on-r JJ<.. IIl,!A-
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OU NUT WRITE HELOW THIS LIN~
# of employees #"o{ u'nits r;/
SDS: /~I Existing, BP # ~~--j7 t1
/~/ Proposed, 51 #
Lot
Block
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IA1rvv...o ' str,( f"Il'lD .~cl
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/~I Industrial 1../ Pub'l ic
, hereby certify that this information is true and accurate,
(zip107477
MrLLJ. 51. 70,
--<,
/I!I phone
Phone
Phone
I I TT 11
c:;.e l- ( 1 ~.
1I
If Commercial: # of stories
Residential: # of bedroo'ms
.a
SI test holes ready
Fee
Code
Description
Sq, Ft. or
# of Sites
Unit
Cost
Valuation
-::ff1
/-1 Cash
YT/ Check # ,/,,/ ',/
I~ceived bv ~'1J.R-'
p"r '
Water Supply I &l.L
Proposed _______ Existing ~
Year Instal le0:.rAU') - /Q7/...
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
each
each
Fee
\ -:;> /St?
$
$
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$
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$ .4..1
$
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$ ~~, 9d'
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10) ?Y', f3.<.r-not1 ~f""1-P
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0, J..ArJJp f 0 .Iknvw
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Subtotal
4% State surcharge
Plans check fee , ..tP .P' /7 --F-
.chang~.of-OGGUpan~~.>4 ~/
TOTAL
H.J //1 Parcel' # dJ //1
t, sid{ , ' /1//4 " int.
/
CommentsAA.\.H ,.,~\ r::.1D, 0""n-'7~- IJUo:J:;:: n,./J;:.J'.I.f~ 77?J/I.d"'/LA'./~) ,L.I1,e';;-;;r
To be typed on permil h g AJ'...../ AU/ ,74'((/' - W~ ~,/ hd/ ~~ ,~ .
, 17 / ---' r 'By' (//~~':) #'"
WATER POLLUTION CONTROL. . r /- - n
Installation specifications: ,jt'J.4n gal, tank;, - .a' ft, oj drainfield; max, dept~ ~2'ellches:
'. To be.typed~on permit /U Ai..ll;'",," .;tr;;.,~ ,.".-.4 j~ Ar 1,Jk~
~- L.., - . -1~.A~7/RI> .......~'~1';t.) ,,-K-;-Lh:\~ 'AA~ ~Ly,..AP Jf~~ 11.4, ,g
L~;JL-- .rA ~ ILL t;UhA,,!~A1~A1'/~-:fii ~~ ~Ad.,-,#_d~' .11'.J' (I ~
().Jo".u./ /M/ .f:'-"~AJ.n1)t'./ f)~ '}fR-J!~/t.M', !kdL ~
o I Telephone By .L:7 ~_
. Directions to site f)""'f.".~ 4?1JO 'Xl--_n!- (-I-t .'11,,\"\'5<' '(t~ "/<(\c..4':::0.....
AA 1-1 t"'rY'\ V.<::.fd- (()")-;;:t-- (blfllin" 1I',-t' 0,- I..J,,) ) '.......} oj
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Plans to: CP&I set(s) Date' Hold Slip
WPC set(s) Requjre.d to pee
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PERMIT PROCESSING
Zone~ 7";
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1., fronJ
(/
Pa rt. #
/-'6"
Parcel Size&,S7 a~
/51 ; rear ",,;:fc;J t"
Minimum setbacks:-.
Date ...s--f'-7'7'
Date, ....!>~ /J:- 7 '7
0....1) dYIL..v
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c/ SIFO
Oa te
COlllpleted
Da te to
PCC
,;/; CPI I
17; WPC
~:/ Planning
I-I Publ ic Works
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!tj, Ele-vation C/ n/a
j5/ Address
I-I Facility Permit
/~/ Environmental Health
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FOR INFOR/-1)\TlON about progress of your appl icatian call:
Permit Control Center
681-HELP (687-4357)
J
-
DEPARHIENT O('ENVIRONI~ENTAL i1ANAGEMENT
. :'PSB',' 125 EAST ,8TH AVENUE :
. ,EUGENE, OREGON 9740.1
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I~ -OZ-05
Application for',.-('''':~ H~i'L",,- vrDM 7_' , '
Structures now o~ the property ~,r(M~ ;/"y\cWl' I Q 1Av,,,^-,,~, -smr(]~~,
!fil!lRQti!iji#~g'Pt~f#ili!fltYi, . '&""il{g~i~~!l:t1~jl, 0 l!iimiliiiJlij!i '&I~ffilij~tiil,il!1 0 i!Wj~ii:
Affidavit: T;. .E..."tfJu.Ia.~'.'-nPtiJ<;iTOW..'. ,.hereby certify tha;this,infor~ation is true and accurate,
If th,is.application ;s for an ,agricultura,l. tiuHding'JLwi11 be used for -purposes allowed py the State BUilding Code ,and
La~e ~o"unty Code Chapte.r',lO (zoni'ng) and~fo;-no.other pur:pose. I have tbe,following,_legal. interest ;n the property_: "
';'owner..of.,record; contract purchaser; .. lessee;~- . holder ofa,n exclusive opt'ion to purchase;'
if _'duly aU~hOr1\zed to act for th,e owner, who is. knowledgeable of thlS appllcati~ ... .~- "
Signature/Address', Ow~ '?)fow , 403L?"i'l5.pO r ,Or:!. /7f1'\r:( , (Zibl074U
, ' ,'~ephone 24?,-CJ50 7 l..J' ',' DatY . AACLt....\- '3 - 70) ,
When p~rmi't is 'ready notify:~ ,Ij;"rApplicant ,(i ~ner :[/ Contrac~; 'Qy: '0 mail /]'~one
Owner M:.l2-c'i' A.l.e..'?i' ,I::::.. L..LU/"fO~ ra..bmf'L) (zip). Phone
Contractor'. ?\0J"T1X'5.A-1~-c' 8D-Me.'-'0[1J!l..1~: (zip) Phone
con'tract~r'~, QI-t027 ,', P1Um~~gby_rfn-rX~ A^,'cf: tL111LSt'rtL(?_
uu NU, WKJlt BtlOW IHIS LINE'
..
# o'f ,.emp 1 oyee"s
If Ccim.merci_al:
Residential ;'
~
()Jxisting, 8P; -.?M~2r
(f Proposed, SIJ#'
SI test holes ready
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~ee:
Code:,
!lliS:trlct111n.. .
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:.:~:~:
Valuation
. 'Fee
s. -=?/.So.
$
$
$
I Q >L c:..Cl ;'5)JY)5sf.Q..ll w(-9 Q,,'tUr!lP~q, Vt'~
lG}r:2.~arl~~ ': ..... " L . .
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'~]~II~.lii~ .~. /'
1;.~~;:~d~;.?7'71J"
" tf/.,
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W~ter...SuPpl; UJeLL '
Pr.opose'd ~. , u';': . Existing' V, ~,
Year'Installed~/.M') ;......, /9~'
T6tal Valuation: $
.~II~I~II~I~I :: ~
,TOTAL
$
//"1 ~
, each' $ /1/ I'
each $
$
$ . 46.-
$
$..:t5 ....
$~~~ 9~
Parcel Size a, S7 ~
/~/ ; rear ~.c1"
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. '4%_State ,:s.u'rcha"rge . . .
Pl"ns Ch~c~f~e, ',', #//1' .-A-
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PERMIT' PROCESSING' ': ..zo~. ;1;. / . ~ "p~rt',#-~.k;J /~, '. Parc'~l ! 'H//A" .
Minimums~tbacks: ' '. It, fr,ogY '. ~ ~/ " ; It. S~d,( Aj///:" ; into
comment;nM.HO~ .~'G?J[)-1P,-~ ~\ . ~
To 'be type,!.on permilJl.' , hi' :4-."'/ /~u/ 7 ,,- {. ',:."... "~f'/
..' , 17. .. 8y f./- . -~/ / ;Y
CP&I . Typ'e . Group fire Zone se ~ifi-a\ti~n-
To'be typ~d.on' permit
'L~
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~-r~7'7'
Date
, ,', II ('1# -11
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For Pl._anS-'i~. formation cal,l (area inspector) , r._ ".: .', ',.,.' -_ , .-- .'
Directi'onsto'site DP1t''P 4?tJO ,~O 1-, A.D Orur.X L-hm 'Ov-
M I-l I"rYI ~1:5'.\-: 'l:Xl '('4- (b I on n II Y'rt a..- l>J ) " " .
/-/ SIFO, Plans to: &&1 --'-- set(s.): Date," ~old Slip Ddte
. -, WPC ~ set(s) Requir d 'to PCC. Completed
. '..~7 CP&I.." '.' ' 6/. 0 '
',' WPC .:.,.. ..
.... ".
_I. Planning
() jU,lic..wo.rkS
, Elevation
Address.
, /~I ~ac;l-ity 'Perm;'t'
I~j" Environmen'tal Health
Date ~;"".;2.. ~
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68'7-HELP
(687-43S7,)
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Environmental Ma~agement Department
Division of Construction Permits & Inspection
125 - 8th Avenue East
Eugene, Oregon 97401
Gentlemen: .
Re: Temporary Mobile Home Permit Application
This request for a
,general provisions
vC:)
temporary mobile home
of LC 11,100-10(4):
permit is made under the
(b)
A personal, but not necessarily financial, hardship exists
whereby it ,is necessary to have someorte living on the same
premises.
The mobile home will be used for the applicant's personal use
during the time a conventional dwelling is being constructed
on the premises, after which it will be removed;
The mobile home will be used b7 an employee of this applicant
for bona fide agricultural, forestry management, or mineral
extraction purposes;
The mobile home will be
a watchman or caretaker,
industrial use.
(c)
(d)
used for residential purposes for
in conjunction with a commercial or
The specific circumstances necessitating this request are 'fcJ' +a k e
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I .understand .that' this permit is valid for one year only, and is subj ect
. to reevaluation and renewal at.. theexpiratiot:\ 'of that time.
M74~152
signatur~ ~..-?ArTUr ,J hu,
Address .?It. '-:;;, 'I' ,7a S~.p p ,R-J
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Q')47'7
Zip Code'
Telephone /} Ljfn
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~jay .8, 1979
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DEP!ffiTHENT OF ENVIRONl1ENTAL 1.1,1\,NAGEJ.lENT
PERMIT PROCESSING SECTION
125 ,East 8th Avenue
Eugene, Oregon 97401 \,
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?'Dear Sir,
,
Due to the 'illness' of Il'.y ,life's grandparents, Mr. ,& Hrs. John Butterfield,
.'
"
we are requesting permission from Lane County to locate an additional mobile
. , . ' .
,home '~t 4637 Jasper Road" Springfield. This parcel::oflarid ,is oJ-med by my ,lites'
parents, Mr. & rlrs.K. L; V!oolery. It contains 3.57 acres, and is zoned AGT-5.
Mr. .~ !!rs: Woolery have previously obtai?ed a hardship permit for her
"v
parent '>Tho are seriously il1.'
'I'hey both have heart conqitions, a.~d are unable
"
to'.drive.
Hr. Butterfield is v.,ery :,eak and has a se,rious lung condition, hard-
"
. , ,
eningof the. arteries and has suffered theee, heart <l'ttacks in' the past six months.
. .' .
, Th~s past month, fir. ~tterfield was admitted to McKenzie-Willamette Hospital for
--the removal of a malignant tumor from his bladuer. !i
Due to their condition someone must be available at all times.
Mr. Hooieery,
an independrrnt logger, is out of toen frequently. ~or this reason, among others,
my ,life & I feel the urgent need for your permission, to park'~ mobile home at this
location.
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Sincerely'Yours,'
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Mr. &c, Mrs. D<'ayJ.1e Stow
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Permit D
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POST THIS,.PERMIT' 0N MAIN Bt,JILDING AT SITE
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, JOB ADDRESS:4G55 JCllI1}01I' l!tl=:il, S~ic1d.. ~
TRS, TL: i8o-(l2-l>S,l!l.22GJ,
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CONSTRUCTION PERMIT #
t!l=120~~
Subd'ivi~ion: en
This permit for the referenced property is hereby ..."....."'....J.. Setbacks and other conditions of approval must be strictly observed, , Violation can
result in revocation of this permit, citation under provisions of Lane County's I nfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS #
1l. n-~ 5&m1. ~3i' ~ ~.. 13~ll.oll.de c.."""",,,, <;/7471
0!3.. E. m1S~ 1t.L. es~1cGl? 4G:>> ~ ~, S~!aldo Oror>...,ga
JJagrq'o ~b1ll.o hres. Tlrono. .
21622 Total Construction Value: I
Telephone:
Telephone:
Telephone:
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Construction approved by this permit:
Water Supply: _1
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
Interior property lines
Edge of road right,of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PE RM ITSIINSPECTION
DIVISION
Directions to Site:
Date Issued:
~2Sc>7D
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C55,13
1912 ~...... 1,2i1 g 600 ~ ~ Illtibl1e ,~
Z................= _ Qn ~$ cma~, tm and """".....eJ3 abci.
# Bedrooms: 'I '
# Piumbing Fixtures:'-, .,
# Employees:
.,,,
Zoning: ~ Partitioning # Ii!3 Parcel # \.l:::1
Minimum required structural setbacks, from: centerline of road, front: 6So
side exterior: 00 ; interior property lines: 150 ;rear property line: '201/
Special Instructions: .
, Parcel Size:
; centerline of road,
3..57 00=
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.....--./
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For information call 687-4394,
1')_"...,..... t:'.ft.OV'l"""
....~----
Site Inspection # !!Q , Installation specifications: 10tr0 gal. min. septic tank capacity;
D3 lineal feet of arainfield required; max. depth of trenches: DB . .', . '
Special Instructions: A ~ cauh and effJuenc'Wc P=P l<laIY be ~t6Ued u1th
~l"""_.l' l'JClbilo ~ 'fm..~.-.l' m.ts 1:0 00 ~~ :lllttt"tl:9 I.iSiot:llo3
dFn'{~f'fcld. ~ a lfOE'1a~~ dtta for ~
Ib mll: J..1.."" 0gelI' ........nt bwa..
'Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
For information call
""..._'"""'.. between 8:00 - 9:00 a,m"",,-- "-- ....
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Type of Construction: ~H' Group: Wi Fire Zone:;) lJse Classification: SFD
Instructions: ~ fco~ cwd p1o;ro (1:0 ~Y m$ a~ 9qo~O~67> ll~""""~" fo~ Cl:Ib1l1Q
, ~ en' 00 6'~" , ,.~"'"" 1)1' ~ efu. ~ a&'O~l>~ to .~ ~"'Ye of? 2ha,EDbilo ~
AJ.co., ,~ ~ OG~.. Boo ..~"""''''''' fClli' ~ ~Uslmo.
For plans information call 001<=31G@' bet'~een 8:00 a.m, and 9:00 a:m.,' , . '%.1!1h ~
For inspections (see back of this permit) ca'1I687-4065 between 8:00 a,m. and'5:00 p,m.
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bne county
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(-"'" iia~ J~ ncdlo oo1y La G:i ~ ~ ~elr I.mro..
By: ~ B.. "Goso/ly
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125.E~ST 8TH AVENUE, EUGENE, OREGON 97401
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SITE ,I NSPECT I ON
ApPROVED .C1
REMARKS
DISAPPROVED .C1 DATE
FOUNDATION INSPECTION
ApPROVED ~ DISAPPROVED;----? DATE
REMARKS
FRAMING INSPECTION
ApPROVED / I DISAPPROVED /7 DATE
REMARKS
LATH OR SHEETROCK INSPECTION
REMARKS
A~PROVED L-I DISAPPROVED'L-I DATE
FINAL INSPECTION
ApPROVED ~
REMARK S
DISAPPROVED /7 DATE
W..t a/-(
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CERTIFICATE OF OCCUPANCY
INSPECTOR
INSPECTOR
I NSPEC'TOR
INSPECTOR
t -.;J5 ~~NSPEETOR
RE~OY TO ISSUE /7 NOT READY TO ISSUE I / DATE
REMARK S
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I NSPECTDR
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FtOOD' PLAIN MANAGEMENT
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Department of Public Works
125 East 8th Avenue
Eugene, Oregon
687-4195
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TO:
V PERr,1!T PROCESSING
PERt,lIT NUMBER '1lv'\\-\ \7;-:"~..,--'n
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PLAimING
PARTITION NUMBER
SUBDIVISION
OTHER
SITE ADDRESS Lf,L,<:;S" -rAS-pE-A. f.<..D
PUBLIC WORKS
SITE IN FLOOD HAZARD AREA
YES
YES '-""
NO I,,/'
NO
PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT.
~.
"
SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL
BE REASONABLY SAFE FROM FLOODING, MOBILE HOME TIE DOWNS REQUIRED,
SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
1, MINIMUM FIRST FLOOR ELEVATION OF (M,S,L,) REQUIRED,
2, MINIMUM FOUNDATION ELEVATION OF (M,S,L,) REQUIRED,
3, MOBILE HOME TIE DmmS REQUIRED IF GROUND ELEVATION THAT ~\OBILE Hot,\E
WILL BE .PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION.
4, SITE LOCATED \~ITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED. j;.
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RECOMMENDATIONS:
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Permit n
Permit n
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(Address)
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.., POST THIS PERMIT, ON
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JOB ADDRESS:4iiS5 ..JQs~ Th3cl1l a~:.tol!.do .~
TRS, TL: ~SA.l 22m.
MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
w..lL2{lCpu~
Subdivision: aa
This permit for the referenced property is hereby , c~vod. Setbacks and other conditions of approval must be strictly observed, Violation can
result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other remedies allowed by law. :',
~. .
Applicant/ Address:
Owner/ Address:
Contractor/'Addr'ess:
Contractor's OS #,
.. .
,
no ~ S~O WI' J'i:l;OpZ: ?no.ilo ~~l!cll.dr, 6",,,,,,,... '?J7471
m.. Ii mlS. R.oL. ~1C'6Y 41'i31 .k~ ~" S~~ c.:",~ ?
J~f) ~na f=::1, 'fl1:mw", ' ' .
,21W Total'Construction Value: I
Telephone:
Telephone:
Telephone:
1~~
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.Construction'approved by this permit:
('
\
Water Supply: li1'l'it
PLANf\ilNG DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
. Interior property lines
, Edge of road right,of-way
Buildingfoundation .
Wells, other water sources
CONST R UCTI ON
PE RMITS/I NSPECTION
DIVISION
'-"',;..,,;.
Directions to Site:
Date Issued:
~i79
C55,13.
!s)72.' ~~-+-.,.~ i20 ~ 0011 DiDl:I1c~' oiliUo T:w:::1.o..
Stz'iJl:~(O'n:;r<1 m p;.."_".l'" .~'ml1o 113 all$ ~~.~
. #'Bedrooms: '3
. # Plumbing Fixtu'res:, '2
#Employees:.......
: 20ning: 'Agt, '. Partitioning:#:t)Il Parcel # ~
,. Minimum required structural setbacks, from: centerline of road,. front: 6S.
,side exterior: 'ua' ; interior property,lines: 150 ;rear property line: ro~
Special Instructions:
Parcel Size:
'; centerline;'of road,
3rl.S1 ee:ms
For information call 687A394, 1<<>",,,,,, h".,.,~'l"':n
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..
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Site Inspection # 1m ' Installation specifications: 1000 ,:'gal. min. septic tank capacity;
M lineal feet of drainfield required; max, .depth of trenches: Q!:\ , , . .
, Special Instructions: A ~ Q;I:::tili ~ c~ Uft;. ~'O!ln' be ~tGUoo ~'1~
i:~:l:Olr'1.Iill:lW1Q,twco. 'i'..._...~ 1m 10 to '00 co~ ~'i:& t:OO tmiJ:;t1Dfi
~"~d.ilo, IL....>;v"' 0 Il'epl~,.",.. 0lil'00. acll' 4rtt~'1f'.<:dd. ,
~ eor. ~Vn ~ dE'aW~~.
Septic Tank Drainfield
10' 10'
10' 10'
5' 10'
50~ 100' For informatio'n call An.,~~., between 8:00, 9:00 a,m.,--. ~.... >>,,:t.
Type of Construction: ~Ft Group: tIE Fire Zone: J f..;; Use Class~~icatio-n~ g'lf.l) ,';
Instructions: ~ ~ ~ l.l'!es !:a ca::;?1:ii' m.lI:h ,~~ f~Um rc:q4l?v::>...,.,m fw~ll:1o
~,or 0$ ,,"'-. .~wlll]r ~ lllf3. ~ elm atf t',E13 lilio ~O ~ tea ,""",,'H,<;:l~.
~.'~ ~ ,eo~. Sea ~...v.........., fort rel!~'~_'~.
, '; .',1
For plans information call 6!J1-iit9,'iD~i:~een 8:00 a.m. and 9:00a~m,," '&:<,'l.1'lh ~
For inspections (see back of this permit) cii11687-4065 between 8:00 a,m. and 5:00 p,m.
m:u
,f .~ '~~'."k~i~
~ 4~ SUool:" (~ i!.:llw ~ ~o G:S!.l1' 12 co ~t ~ e~ L€ma..
By: 3dii3Bo 'foaoJl'J
bne county
-,~
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE. EUGENE. OREGON 07d01
,
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SL'AB FLOOR"
PLUMBING GRQUNfWORK
Af'~'RC;VED :'Cl, DISAPPROVED .b DATE
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INS PE CTOR
REMARK 5
GAS PIP I NG GROUNCMORK,
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ApPROVED / ...;, OISAPPROV(D .C1 DA.TE
INSPECTOR
REMARKS
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ROUGH PLUMB \ NG
ApPROVED .C1 Di SAPP'ROVEO / . I DATE INSPECTOR
REMARK,S
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ROLiGH GAS PIPING
ApPROVED .C1 . 01 SAPPROVED .C1 DATE INSPECTOR
Rn4~RK s
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FINAL PLUMB I NG.
ApPROVED [PJ DISAPPROVED'.C1 DATE t:, -,:)5'-"lJ1 NSPECTOR ,tP;t..
REMARKS
FINAL GAS PIPING
ApPROV.ED ''0 DISAPPROVED /,' -; DATE
INSPECTOR
REMA'RKS
CERTIFICATE OF OCCUPANCY
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READY TO ISSUE / r NOT READY TO ISSUE 17 DATE
INSPECTOR
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REMARK 5
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Job Location (Street, mile post) , i! r:: ~S- {/ . '/ ~ ~!...~
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FOR SAN ITARIAN'S USE ON L Y: o System Approved '0 System Disapproved 0 Needs Correction
COMMENTS:12r11Dn~ -Hnua\""(\3w.l&.v..,,\ 'DW)V\CtIJ ~ ~ ~4ct .I.sa\<..,
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Signature:
FOR INSTALLER'S 'USE: Trench Depth..,LS? '~_~Jfll Filler Depth Below Tile /t/ /J.
Tank Capacity, / mID frl/-L.Manufacturer L,U:LLGL WI elf,.. 4I"a:f~'t-rI fIe
Measured (E~ton;:'o t.D..lilloll f[nm +o",~ d!7..IJ' hom drainfield .I/f1I5'() I
Date:
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:X30/~"I.lNSTALLATlON RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION ,
~ ' ~hen signed by the County Sanitarian, this certificate IS eVidence as per ORS 454,665 of sat,
'* isfactory completion of a subsurface sewage disposal system at the above location,
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co Return this form to: Permit Processing Section, Department of Environmental Management,
N Public Service Building, 125 East 8th Avenue, Eugene 97401
C55-11
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Water POllution
Contr~J Division
Lane County
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TRS, TL: 18-02-05', I 2201 Subdivision: _ ,'"
This permit for the referenced property is hereby".;.,... .J.T<-':{)Set~a'cks\~nd atherfcbnditibiis:df kpproval'miis{.bJ stk.~tIY!JDs~rV~d:'t Viblahon0~in' ':
result in revocation of this permit, citation under provisions of Lane County's,lrifraction Ordinarice, and/or other remedies allowed by law, 1_"'''' 7/,'r'i;1
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Appl icantl Address:
Ownerl Address:
Contractorl Address:
Contractor's OS #
L ~... SI:ClII, 46J7 JMpeI' tlIoad. ~u. ena- 97471
D. " HII. K.I.. Vaol..., 4631 ".,sr IoU, ~ia14,. 0Aaa
.rezr,9. IIltbI.18 __ 'fhu.
216%2 Total Construction Value: I
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Construction approved by this permit:
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Wate'r Supply: -.1
PLANNING DIVISION
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WATER POLLUTION
CONTROL DIVISION
Setbacks
Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PERM ITSII NSPECTION
DIVISION
Directions to Site:
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POST THIS PERMIT ON MAIN BUILDING AT SITE
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CONSTRUCTION PERMIT #
LO-Wl6-7941r
Telephone:
Telephone:
Telephone:
ltn Bzo~. U. :cOO' 81aa1e wldo IIOItUe bou.
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# Bedrooms:
# Plumbing Fixtures:
2
# Employees:, ...
3
Zoning: ~ Partitioning # aa Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: 8& ; interior property lines: 1.5' ;rear property line:
Special Instructions:
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Parcel Size:
; centerline of road,
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Site Inspection # na Installation specifications: 1OIJO
WI lineal feet of drainfield required; max, depth of trenches: _
Special Instructions: .. apt:1c, Clmli: llDIt.fOaut We ... _,,.1Ie SaRlIUe4 vitia
f" ,,"~h.. ~. ~ t"'....." ",J' .... to lie -1*11de cJae e:dat:laa
cIaW1e1cl. R ...1....' a ~eptq~ .t __ fft ~
Do IJiOC ad.. ~ U_fftl.ft_.
For information call 687-4394,
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gal. min, septic tank capacity;
Drainfield
10'
10'
10'
100'
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For information call
AIl'l.'tU,between 8:00,9:00 a.m" _~ _, D_Q~ -,
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Type of Construction: f'{\ It Group: MH Fire Zone: 3 Use Classification: SID
Instructions: hv9I.de faoUqa aa4 tdenI CO COlIpl" w1.Cb .~.tJe f......~..,. ". ,,,..,,..' ",.,.. fer "'Ue
boa. d .. ....... .. w b7 die IIfg. that 4ft! .e"~1pIoJ to the SDa1de of the -'tile boH.
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For plans i~formation call 1.<37-31'" between 8:00 a,m. and 9:00 a,m" ".r.'~ !!'.auah
For inspectIons (see back of tflls permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Septic Tank
10'
10'
5'
50'
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By:
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Date Issued:
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05-23-79
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILOING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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