HomeMy WebLinkAboutPermit Building 1978-12-5
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LANE COUNTY PERMIT
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Acreage or Lot Si70
Contractor's O.S. #
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Partitioning #
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Subdivision
Lot
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APPLICANT'S NAME AND ADDRES"
OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRES~
Mail permit to ( .:) Applicant ( ) Owner
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) Contractor. ) Prefer to pick up. Call
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(owner, etc.) when ready.
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STRUCTURES NOW ON THE PROPERTY C;ill.~l
_HIS PERMIT IS FOR ""':'3 \;Lj C:"!:~';,.. !',,'c,,~ SE:o~o
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# BEDROOMS--.-L'#.PLUMBING CONNECTIOiNS \ ("~.
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WATER SUPPLY,
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SEWAGE DISPOSAl
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THIS PROPERTY ISWIT,HIN ONE MILE OF THE CITY OF
, PLUMBING BY
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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 retil"rd;
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 $ . Signaturo," _:'.' ~ ~. J ,.f / .t .......; Datp - ' d ,. , IJ
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) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. (~I.SPECIAL PMT.'AREA. MIN. ELEVATION: ~ ,"-0.,
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SANITATION
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
BUILDING
l' Type of Construction
.,', _T" Use Classification
r,roup
Fire Zone
.omments:
Comments: ':;;
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By: Date:
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: "SETBACKS: FRONT '-
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(FROM C/L)
Date Issued: : ,-
INT. SIDE YARD REAR
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(FROM P/L)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL: MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
PHONE: 687-4394
C55.13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING -,GREEN; PLUMBING - C~NARY; SANITATION -:- GOLDENROD; OFFICE COPY - WHITE
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PERMIT ~R l _);c',_,,'. __~'- ,.:; \.., , .....' '\
STRUCTURE (I "IlRMS) SQ. FT \, 1"., VA.LUE
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each
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Waste Dispo_sal:b(j 5.1. 0 Construction
o Pion Check or [l Chong8}of O~cuponcy .:..-
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PERMIT #:6\C4.'~
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JOB LOCATION
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Acreage or Lot Sizo
Contractor's O.S, #
195.70 X 195.46
Partitioning # NA
( ) Completed
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Subdivision NA ~
Lot [J lock
LANE COUNTY PERMIT
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADORE""
CONTRACTOR'S NAME AND ADDRESS
Mail permit to (JOO Applicant ( ) Owner
.TRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR Add: to Church.
Cont. Price
WATER SUPPLY RUnbow
lrrmanuel ~'T
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VPTlin Post,
) Contractor. (
~hu~_ 450 ~~me Farm Rd. 62
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Phon"
Phono
(owner, etc.) when ready.
7?h-71l.1L
Lebanon, OR
) Prefer to pick up, Call
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SEWAGE DISPOSAl
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# BEDROOM~~PLUMBING CONNECTld~~
C::P~t"t,.. 5.1. # )oJ.&
I!p~2t" S,J;l~.
$200,000
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 notfithe wner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I herebYagree~o com y with all app '~)Ie 5ydes relating to this permit., _
FeePaid~. 528.47 S'gnatu _~J L/ yf Dato 5-;2.2 7.:r
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DE-T. - [)<{SP(C~;'L ~. MIN. ELEVATION: hJA.
SAJ':lIJ;ATION BUILDING'/ ~
~ /~ Minimum Septic Tank Capacity (Gallons) ~ Type of Construction A'2.1 Group ~~ Fire Zone
. PO Drainfield Required - Lineal Feet r.I~"p",~ Use Classification
1~ Maximum Depth Comments:*I"tS'\~ 'TO ae: ~~\ \ ~~
Comments:j~t0 .............. .~ 'f,J.c)'y, ~A,-.-~~f'02...~ ~
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BY~ ~ . "~ ~ ''f ad..:UJ?i;-~ . _ ~"\. ,:I.. Date:~A9/7~
PLANNING REQUIREMENtS SATISFIED. B~-:::....~~ _ ' Date Issued: 1:J.-5-7P.
ZONEUl.':;:-\ SETBACKS: FRONT ,Q"{ SIDE FACINc!STR B- (FROM C/L) INT. SIDE YARD' ~EAR (FROM PILI
LANE COUNTY DEPARTMENT OF ENVIRON~t.~AAA~EN?, 125 E~ST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
POST,THIS PER"T ON MAIN BUILDING AT SITE \ -I:
~LOG. PERMIT - WHITE; BUILDING - GREEN: PLUMBING - CANARY: SANITATION _ GOI n~NQnn. n~~It-~ rnr:1V _ .....'.....T~
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