HomeMy WebLinkAboutPermit Building 1977-12-30
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LANE COUNTY PERMIT FO : #-11' ((:. PERMIT NO. .
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CONSTRUCTION [..] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
NAME
Subdivision
Lot
ADDRESS CITY ZIP COOE PHONE
ADDRESS CITY ZIP CODe PHONE
6,. /. \ Tax Lot 300 ~ Codp Census Tract
Block Acreage Width
~'c -) Depth
"
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"~"" f .. , ''',
o Contractor
NAME
O.S. Reg. #
Twp_1.1... Range
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Section
Access to Property (Road Name):
Existing Structures on Property:
Directions to Property' Address:
STRUCTURE (# BEDROOMS)
\"1 .~
J. . ~
SQ. FT. I.
,- \- I A, e,\ ~ . L \
... ..",\.. - n<j" c.t!:M"~\~<U:I
M<\"" l,.o 'n~ ,"\ ~....~'"
VALUATION
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SEWAGE DISPOSAL:
PUBLIC [) SEPTIC TANK [
BUILDING
PLUMBING
3% SURCHARGE
MOBILE HOM~
WASTE DISPOSAL
PLAN REVIEW
r
. ~ ",I . .
PLUMBING INSTALLED BY,
OWNER r) OTHER r I NAMF
WATER SUPPLY, PROPOSED [ )
EXISTING [J
[ ) PUBLIC
[ ) COMMUNITY, NAME,
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY,
OTHER [
TOTAL
J"..
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY,
GALS MIN. DRAINFIELD
L1N. FT.
MAX. TRENCH DEPTH
"-
,
INCHES
TYPE OF CONSTRUCTION
GROUP
FIREZON~
STAY 100' FROM ALL WELLS
USE CLASSI F.
SETBACKS, FT. FROM CTR. OF r/W:
FRONT SIDE EXT.
FT, FROM PROP.LlNE,
SIDE INT. . REAR
ZON~
AUTHORIZED SIGNATURES:
Isl
ISSUANCE DATE:
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the Stale Buidling Code, D.E.Q. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of;
occupancy before being occupied.
(See Detai Is on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
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C55.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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SITE INSPECTION
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED ~ DISAPPROVED I
/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
LATH DR SHEETROCK INSPECTION
ApPROVED L-/ 01 SAPPROVED L-/ DATE
REMARKS
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL INSP;C~
ApPROVED D~R~V~ ~ DATE.L - Ii - 7,$?INSPECTOR
REMARKS ~flt? J
,
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE
REMARKS
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INSPECTOR
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