HomeMy WebLinkAboutPermit Building 1977-4-26 (2)
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PERMIT #
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JOB LOCATION
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LANE COUNTY PERMIT
Acreage or Lot Si7~
Contractor's O.S. #
APPLICANT'S NAME AND ADDRESC: E....
OWNER'S NAME AND ADDRi=C:C:
CONTRACTOR'S NAME AND ADDRi=C:C:
Mail permit to ( ) Applicant ( ) Owner
Partitioning #
,( ) Completed
Subdivision
Lot
Blor"
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Phon~
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(owner, etc.) when ready.
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) Contractor. .i><l Prefer to pick up. Call. 7'Y?- . /. _ .i-
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STRUCTURES NOW ON THE PROPERTY
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_HIS PERMIT IS FOR
WATER SUPPLY
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# BEDROOM" - # PLUMBING CONNECTION~
THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF
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SEWAGE DISPOSAL
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I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _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 this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid $ . / /. .:.;. ') % 6111'/0 Signaturp Date
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT l SPECIAL PMT. AREA. MIN. ELEVATION:
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
BUILDING
.--". / 7'"
.' ,. Type of Construction ~:
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Group
Fire Zone
Comments:
tiomments:
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~: Date: . J I By:'.":: I:r"'-d" -:'9 ,~Date: ,oj. ;;.~ 7/
PLANNING REQUIREMENTS SATISFIED. By: ~:7 Date: (I-I/'/ Date Issued: t'// :ly/,/;t--
ZONE: .to. -i- SETBACKS: FRONT,./ ,. I SIDE FACING STREET (FROM CILl INT. SIDE YARD 'REAR," 7(1=R0M PILl'
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
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BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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PERMIT # //7-?:7
,ytJO JOB LOCATION
;'i J 99
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69
LANE COUNTY PERMIT
Acreage or Lot Si7~
Contractor's O.S. #
Partitioning #
.( ) Completed Subdivision
Lot
Bloc~
APPLICANT'S NAME AND ADDR""" E ""I:: ~.u s;... J.JP1 L /04-/1'.)
OWNER'S NAME AND ADDRES.C: ..5-9;"" "'"
CONTRACTOR'S NAME AND ADDRESS < 4'-..-? =
Mail permit to ( ) Applicant ( ) Owner ) Contractor. l><t:refer to pick up.
STRUCTURES NOW ON THE PROPERTY ()W' C:- (...( , n/ (;.
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Call '7.f/~-~ ~)?"
Phon~
Phon~
Phon~
~(owner, etc.) when ready.
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..HIS PERMIT IS FOR A dr-l.,
~ATER SUPPLY. tRlJ(")./:;,:; /.J
. SEWAGE DISPOSAl
# BEDROOMS....3....# PLUMBING.CONNECTION~'
s-<!!.ph C. #x/.~-^S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF 5 to t:Ld . . PLUMBING BY -
herebyl certify that the above statements are true and accurate, ~nd that I have the following legal interest in the property: _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 this action. I hereby agree to comply with all applicable Codes relating to this permit.
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Fee Paid ~ ?/ /. ..::2-iD Signature r....~ p./IA.P /'~7--,~ Dat~ (./- ./J; - 7
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT...r () SP~CIA{ PMT. AREA. MIN. ELEVATION:
SAN IT ATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet .
Maximum Depth
BUILDING
.c;- A./ Type of Construction 7"
. /- #' /7 ~ -' 'Ise Classification
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Comments:
Group
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Fire Zone
Comments:
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By:~j('~. Date: t(-1/!\-77 By:(f2. g~ k ~~te: ~-rC.-7?
PLAN,NINGj'lEQUIREMENTS SATISFIED. By: \.4'::Z'l11.:L. C/ Date: ~/ Q- / ' /' Date Issued: -rL ~!YI.' 7,Z-
-ZONE: r.;4- SETBACKS: FRONT.L,/('""'I SiDE FACING STREET (FRbM CILl INT. SiDE YARD, ') IREAR)r 1'fF.:F.l0M'P/Ll
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125.EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.'3
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVEO W DISAPPROVEO C1 DATE ~ t, -'71 INSPECTOR
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REMARKS
FOUNDATION INSPECJION
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ApPROVED LKI DISAPPROVED c::J DATE
REMARKS hA~ - .dA.-/..- tIJ ~
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FRAMING INSPECTION
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ApPROVED / /~/ D'SAPPROVED
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C1 DATt,. .- 7...-
INSPECTOR
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REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~ DISAPPROVEO
REMARKS
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DATE ,j- - /--
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I ,I NSPECTOR ~_'
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FINAL INSPECTION
ApPROVED .~ DISAPPROVED C1 DATE 7- II_ilINSPECTOR
REMARK 5
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE
INSPECTOR
REMARKS