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HomeMy WebLinkAboutPermit Building 1977-2-25 " " " -'.-'" _of" /~,p }~;~....::,. 17-03-22.4.4 '1'T.5100 JOB LOCATION &S' 37 ~ar.:l'l F.-:lm Rc1 PERMIT # 308-77 Bpri~gflelcl Oreryon TRS, TI LANE COUNTY PERMIT Acreage or Lot Si?~ Contractor's O.S. # Partitioning # ) Completed, Subdivision Lot Bloc~ APPLICANT'S NAME AND ADDRI''''' OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRF"<: Mail permit to ( ) Applicant ( ) Owner JC'hovahs Uitnesses Sane u~c::r- lI13U.!. Church 37 GaEJe Pari" !',;:: Springf. Phonp Phon~ Phon~ 7"'J-':j0'l? app.u.c.'1l!1T: (owner, etc.) when ready. " STRUCTURES NOW ON THE PROPERTY . Porcer HIS PERMIT IS FOR ) Contractor. (;t) Prefer to pick up. Call. ,Tchovah niblcsses Chu:cch ~c~anicGl OYBtc~ only # BEDROOM<: # PLUMBING CONNECTION5-- WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF WI SEWAGE DISPOSAL '11\ S.1. # 1:0 . 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. , -' .. , 4. 1 Fee Paid $ \. " ". 3~ Signaturp _7, .' ,.; .' 'j/ Dat~ ,,../ /'/ y, I: \r ' / . / . ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: amments: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction -. Ilse Classification Comments: r,roup Fire Zone SANITATION By: Date: By: - Date: PLANNING REQUIREMENTS SATISFIED. By: ;: Date:_~ \ " \"-..1 l Date Issued: ZONE:..... -..[. \.. SETBACKS: FRONT SIDE FACING STREET (FROM CILl INT: SIDE'YARD REAR ~-.' A LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE lFROM P/L) PHONE: 687-4394 C5S,13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE \ -I, i, \ ,"'M";. ' ';;'C". 'T.'.' . '-', "_f', ,...-.~,.:",,\" '''''';~-''"', 'f;""'}''''''"'"'':':'''''''''::"~'=,~~-'~ BOLD lane county ca SLIP APPLICATION #:jo8-11 '-. '- . JettovAH"'.;. \J.)ITI-le-s<;,~ cl-\\J\2C.t1 Name ?I &A.Ne FA-e.M ~ Address S P\'2.1 1\.)(.., 1"1 F::I.I'>. ()~~ N- Zi p Code .A--TTf"=r-rnoH : (2\Gt::- f'AVL The above application is being held by the Permit Processing Section for the following reasons: -P12O\)lpe -::,.t-A~Mg"HT ~M -trzU'7C:; MA(JVFA-C--rutZfH2.. \J ~e. \ F'f ( t-J (0 TUZ lJ C; C; ~<? 0t12 r:. ~6\' P f-\ B L G' .0 r-:- ..;. ()7 TA-tt+ I1J b P6~~v)\;,ce.... LOADS 612. c;uBf\.I.lT LOI-J7T~ULTlON ~AIL.S. ?rto()JtN0 ^,Ie:n-IOD CJF (:::>(c.:,-rt2.IBUTlN~ u(JAD-? TO "'::>F--U ~S2-AL -r/2.U <;,s.es. &~. Divi sion: ~\tz.~C-TlO'H -P~fJ.I1'S ": I tJ:>\--c:... I Si gnature ~\ \ \ +ttJTct+, ~ Datel-/zr;h7 Division: Si gnature: Date This application will be held until 3'-10-,7 . If the information required above has not been furnished by that date your application will be cancelled. Fees paid for waste disposal systems (site inspections and/or applications to install the septi c tank and drainfiel d) are nonrefundable. Some refund may be made on the building and plumbing portion of your application if cancellation is necessary. In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as to whether to proceed with permit issuance or process a cancellation. PERMIT PROCESSING SECTION - 687-4394 C74-139 . . ....."'_-l . ,,~,L' . ...:.----