HomeMy WebLinkAboutPermit Building 1976-8-25
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LANE COUNTY PERMIT FOR:
PERMIT NO.
2153-7f
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CONSTRUCTION [X] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner Dennis S'i:imDlp fl::>n F';]h""t IJolno
NAME ADDRESS CITY
o Contractor Sarea
NAME ADDRESS CITY
0.5. Reg. # r~A
~r~;nn~4^1~n~^n^~
- -..... ZIP CODE"'-"
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7!l7-r.1T;.?
PHONE
ZIP CODE
PHONE
Twn
10 Range
02 Section 06,1 _ 1 Tax Lot
1nn
Codp
Census Tract
Subd ivision
r~A
Lot
Block
Acreage
Width
Access to Property (Road Name):
F'il h""t I ~n..
Depth
Existing Structures on Property:
f.ln"c:~
Directions to Property' Address:
R?n ~;1~~~+ I~na
STRUCTURE (# BEDROOMS)
P",rmit: fnr /.\Ar RIIHtlinn
Farm II~" nnlv
SQ. FT.
VALUATION
SEWAGE DISPOSAL: Existing
PUBLIC [] SEPTIC TANK [] OTHER [ ]
10.aO
PLUMBING INSTALLED BY,
OWNER [] OTHER [] NAM"
WATER SUPPLY, PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY, NAME,
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY,
BUILDIN"
PLUMBING
3% SURCHARGF
, MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
TOTAL
10.00
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY,
GALS MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
SI'P Pl nt Ph,"
TYPE OF CONSTRUCTION
GROUP
FIRE ZON"
STAY 100' FROM ALL WELLS
USE CLASSI F.
SETBACKS, FT, FROM CTR. OF r/W,
FRONT 50' SIDE EXT.
FT. FROM PROP. LINE,
SIDE INT. ~ I REAR
1_"'
~
ZON" AGT
AUTHORIZED SIGNATURES:
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8/25/76
ISSUANCE DATE:
Donnalee i:aigs
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BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
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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 State Buidling Code, D.E.a. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C5S.13
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COU~T~USE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ..
TRS,TL /,.1;. eJ,;z-tJ".I./ 7"~ 30';'
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