HomeMy WebLinkAboutPermit Building 1978-11-16 (5)
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JOB' ADDRESS:
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
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Subdivision:
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This permit for the referenced property is hereby ""_~_ ,; Setbacks and other conditions of approval must be strictly observed, Violation can
result in revocation of this permit, citation under provisi6ns of Lane County's Infraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: rl<1
Owner/Address: .n:y
Sal:le
Contractor/Address:
Contractor's OS # 5"-"'e
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~ ~onstruction Value:
Telephone:
Telephone:
Telephone:
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Construction approved by this permit:
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~ater Supply:
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PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
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# Bedrooms:
# Employees:
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# Plumbing Fixtures:
J
Zoning: Partitioning # Parcel #
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Minimum required structural setbacks, from: Centerline of road, front: n:l
side exterior: ; interior property lines: ;rear property line: ,n'
Special Instructions; " 7' Pc::
Parcel Size:
; centerline of road,
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For information call 687-4394,
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Site Inspection # nr I nstallation specifications: ~r
lineal feet of drainfield required; max. depth of trenches;--'
Special Instructions:
gal. min. septic tank capacity;
Setbacks Septic Tank
~erior property lines ilO; 5 .
.ge of road right-of-way 10'
Building foundation 5'
Wells, other water sources 50'
Drainfield
10'
10'
10'
100'
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CONST RUCTION
PERMITS/lNSPECTION
DIVISION
Directions to Site:
Date Issued:
11-16- 78
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For information call
between 8:00 - 9:00 a,m.,
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Use Classification:
F:-D
Type of Construction: :;:1
Instructions:
Fire Zone:
Group:
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For plans information call (o,::7-'J7J 7 between 8:00 a.m. and 9:00 a.m.,. ,_, , ", '
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. arid 5:00 p.m.
lane county
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE ",.. "",G
By:
W~.O
~ FLOOR
PLUMBING GROUNDWORK
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ApPROVEO L:::7 DISAPPROVEO L:::7 DATE
REMARKS
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GAS PIP I NG GROUNDWORK
ApPROVEO L:::7 DISAPPROVED L:::7 DATE
RCWARKS
ROUGH PLUMBING
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INSPECTOR
INSPECTOR
ApPROVED, fZf D'SAPPROVEO L:::7 DATE /6)-.;:1 g'-7,f'rNSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED .c::J DISAPPROVED' L:::7 DATE
REMARKS
INSPECTOR
FINAL PLUMBING
Ap~,ROVEO LEJ D'SAPPROVEO L:::7, DATE~-~ -?'9 INSPECTOR
REMARKS
FINAL GAS PIPING
/
I
ApPROVED CI DISAPPROVED CI DATE
REMARKS
CERTI F I CATE OF OCCUPANCY,
READY TO iSSUE CI NOT READY TO ISSUE CI DATE
REMARKS
INSPECTOR
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INSPECTOR
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