HomeMy WebLinkAboutPermit Building 1978-4-24
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LANE COUNTY PERMIT
Acreage or Lot 5i70
Contractor's O.S. # .
Partitioning #
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Subdivision :.' :\
Lot
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APPLICANT'S NAME AND ADDRF<:~
OWNER'S NAME AND ADDRES~
CONTRACTOR'S NAME AND ADDRESf'
Mail permit to (:.') Applicant ( ) Owner
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) Contractor.
) Prefer to pick up. Call
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STRUCTURES NOW ON THE PROPERTY
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THIS PERMIT IS FOR ".i>:yx '.-r;'!!\:-;-::lI:i --~ t. ~--'- .
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# BEDROOM~'::\ # PLUMBING CONNECTION~
WATER SUPPLY
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SEWAGE DISPOSAl
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF :':l
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. PLUMBING BY .'
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: y .rowner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorizeo.to act for the owner of
record, and that said own,er is aware and approves of this action. I hereby agree to comply with all app.li~a~l~ Codes relating to this permit.
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Fee Paid <I: "" Ignature . . . . " .:- d..'> '. '. ate" '.' ,
) NEW ADDRESS ( )"FACILlTY PERMIT TO TRANSPORTATION DEPT. '. ( ) SPECIAL PMT. ARE*'.. MIN. ELEVATION:
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~omments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING ,
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,f,~ Type of Construction ." -. Group
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Fire Zone
SANITATION
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By: Date: "_ C BY(d" I~-", '~ ~.A F:KDate: ~-/ - 19- / %
PLANN ING REQUI REMENTS SATISFIED. By;..... ):--~, ". ...__'_' ''--A-lr' Date: \-\ \ \. \ \ .,.. U' 'Y Date Issued:4- 24.7;1
ZONE: _ -'.c .....,,"j) SETBACKS: FRONT ,I SIDE FACING ST~ET j (FROM CIL) INT. SIDE YARD I REAR / (FROM PIL)
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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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SITE I NSPECT I ON
ApPROVED Cl OISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED L-! D"APPROVED L-! DATE
REMARKS /}, /}"
INSPECTOR
FRAMING INSPECTION
ApPROVED ! ""(DISAPPROVED Cl DATE~7_ 7 L INSPECTOR~
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~ DISAPPROVED ~ DATE_//- 1,<;:71INSPECTOR~
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REMARKS O.A/"'r e- 'If.-::t" hD.lR~~.,
FINAL INSPECTION
ApPROVED ~ DISAPPROVED
REMARKS'7 - L~-'i?!:' &
Cl
DATE 1'7 1-/" Tl- f'''t INSPECTOR 4.J .x
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ! / DATE
INSPECTOR
REMARKS
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JOB LOCATION
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TRS, TI
LANE COUNTY PERMIT
'';i
Acreage or Lot Sizo
Contractor's O.S. #
Partitioning #
) Completed
Subdivision -
Lot
,I
APPLICANT'S NAME AND ADGRF~~
OWNER'S NAME AND ADDREC:<:
CONTRACTOR'S NAME AND ADDREC:<:
Mail permit to ( ) Applicant ( ) Owner
.~
Bloc~
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~
) Contractor.
) Prefer to pick up. Call
Phonp
Phono
Phone
(owner, etc,) when ready.
e'TRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR
# BEDROOMS_# PLUMBING CONNECTIONS-
WATER SUPPLY
SEWAGE DISPOSA'
S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
PLUMBING BY
"
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 .;:.
) NEW ADDRESS
SANITATION
Signature
) FACILITY PERMIT TO TRANSPORTATION DEPT,
Oat"
) SPECIAL PMT, AREA. MIN. ELEVATION:
.
Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Use Classification
Group
Fire Zone
Comments:
By: Date;
PLANNING REQUIREMENTS SATISFIED. By: .
ZONE: , SETBACKS: FRONT
By: Daw:
Date: Date Issued:
SIDE FACING STREET (FROM C/U INT. SIDE YARD REAR,' (FROM PILl
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
C55.t3
BLDG. PERMIT - WHITE, BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY-- WHITE
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SLAB FLOOR
PLUl'IB I NG GROUNMRK
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ApPROVEO 1:::7 DISAPPROVEO 1:::7 DATE
INSPECTOR
REMARK 5
GAS PIPING GROUNMRK
ApPROVEO 1:::7 DISAPPROVEO 1:::7 DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVEO
IJZ:J DISAPPROVED C1 DATE, ~/6-7?INSPECTOR
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REMARKS
ROUGH GAS PIPING
ApPROVED 1:::7 DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVED !Xl 01 SAPPROVED Cl DATE I'? '" Il.ltf'r INSPECTOR W ~
RnURKS
FINAL GAS PIPING
ApPRoveo 1:::7 DISAPPROVEO / / DATE
INSPECTOR
REIURKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE 1:::7 NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARK 5
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