HomeMy WebLinkAboutPermit Building 1977-3-17
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.3fiS-77
PERMIT #
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LANE COUNTY PERMIT
Acreage or Lot Si70
Contractor's'O.S. #
Partitioning #
,( ) Completed
Subdivision
Lot
Bloc~
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APPLICANT'S NAME AND ADDRFc:c:
OWNER'S NAME AND ADDRESc;
CONTRACTOR'S NAME AND ADDRESc;
Mail permit to ( ) Applicant ( ) Owner
Jel"'ovt:,~le . :'!t"".'''.'TJ('['' "'H'::'~:CA1
37 GaJT:2 1!arm R~.
appl:i.C2lilt
Phono
Phono
Phono
(owner, etc.) when ready.
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STRUCTURES NOW ON THE PROPERTY
.IS PERMIT IS FOR Dormer
SflHa
:U.clt P&ul
) Contractor. (X) Prefer to pick up. Call
Jehovah ~itnesse~ Church
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mcc~unica~ sv~teM cnly
# BED ROOMe;
# PLUMBING CONNECTIONS-
WATER SUPPLY
lI'A
SEWAGE DISPOSAl
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S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
NO
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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: _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 C6des relating to this permit~~
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' Fee Paid $ .J..... C~ '-0. ... :J.. , Sigriafurp '4// /1;:1'>>( // Dato C>? ~''11
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ./ )SPECI~L PMT. AREA. MIN. ELEVATION':
SANITATION
aments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required, Lineal Feet
Maximum Depth
BUILDING
Type of Construction
AAF;GI-\. Use Classification
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Comments:
Group
Fire Zone
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By: Date\... ___
PLANNING REQUIREMENTS SATISFIED. B'y;.
Z6NE:~-~<J...... SETBACKS: FRONT
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
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By$);UMtmwl. C...?Vi
~ \ \'C\ \'\'1 Date Issued: 3 - /i;' 7/
(FROM C/L) INT'-SIDE "YARD REAR (FROM PILl
. Date:::'; - 1;-77
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SIDE FACING STREET
Date:
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PHONE: 687-4394
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POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SITE I NSPECT I ON
ApPROVED L::::7 DISAPPROVEO L::::7 DATE
REMARK 5
FOUNDATION INSPECTION
ApPROVED ~ DISAPPROVED;----? DATE
REMARK 5
FRAMING INSPECTION
ApPROVED I / 01 SAPPROVED / I DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-,/ 01 SAPPROVEO ~ DATE
REMARKS
FINAL INSPECTION
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ApPROVED DISAPPROVED L::::7 DATE/P- /-~f
REMARKS~""~ U:~Zi-J?IZ,bl L!'J~
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE L::::7 DATE
REMARKS
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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INSPECTOR~46I
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INSPECTOR