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Permit Building 1978-6-10
.,. ..... ,~:r:--:-. ." ,(~.~ '" ! ~l~ ' ......-.. .' -..^ .~ , #....:~ -l"./. " " LANE COUNTy",PERMIT FOR: . ; :.~ #. ..' . -. , .' I PERMIT NO. ~,rf'r.--.k <- ,,{N-- '.P' CONSTRUCTION [n, J. MOB I LE HOME j}!PLAN':REVIEW [ CHANGE OF OCCUPANCY [ J O.S. Reg. # fJ1 NAME 1:U\.'1, r~IY'J $P NAME '. J~n~ \.~j f:;?,l@ tiitJ~ltFJpCCJ ,t~oo ADDRESS . 3~~:J tt~':)fr tiB;nt:n yy .,.',,! :, -, '\ ,ADD.RESS ,";. .j}:. .) -~. ....... vpr; ~r:'c~7 i 81\,0 0ClGOGC1 ~",,-, -Il t!,~, : 8' <-v I "" II c..\t,'{;,; DOwner . f.i'~.. G~~'€~C~i ~D Contractor CITY ZIP CODE ',' jte'3!,;t," (l-'],;~ ~~'.l . ,--~ ;: ".....-. ,^,..' \ ',,,-, ~~"'/l-.r :\::-~~ktr~ . "":' . ,-:~""" "...;,.:l" ,;;rc':l-ry,:\ ' " " Zlf' CODE PHONE, .. ~1<'" ."," F{" "I.' ",,,,,",{ :,", '1 .e;,~.1".:4 J).t -'=:.-~ PHONE ,Twr R'ange "'<i ," .' 2J . Section ~.l." Tax Lot ~~~ Code 03~3 Census Tract Subdivision C'C~!~~~ ~~lBtr~ lot s Block ~ Acreage Width Access to Property (Rs>ad Name): ,'Existing Structures on ~ro,perty: :T" Depth ffi:tHD'lt' \!C~B ,MJ~PlJ Directions to Property - Address: ". 'sTRUCTU~RE (# BED.ROOMS)~. ;\,t~; 1..;J\;t"i;C;,K ". . t,. .' _ ,,_ n~~;:ct\J~'-"";L.U {t.~~~l~T~. mVQ 1/ ~mt.l' '~~, SQ. FT. VALUATION ~ !$M:O \/,;>:0 \J .^......,~/",.... .....~3.,. ~-,IU;~-J~~~, ,,~~.~ ',I , , \.....-i' J .c. SEWAGE 'PrlS.P9~SAL: PUBLIC [<:'J~.~tsEPTIC TANK [ ] BUILDING: tJJl..C.o PLUMBING :;J;ooo ~<>'tl 3% ,SU~CHARGF ' 6 MOBILE HOMF WASTE DISPOSAl PLAN REVIEW n .P (; I. ;tJJ [ ] PUBLIC, . fA!: . " . [ ] COMMUNITY - NAME: :/ / [ ] PRIVATEWELL OTHER - SPECIFY: oJfi)~u-rk] ~~ ~') b -lo-7~ ~ CONSTRUCTIONPERMITS & INSPECTIONS AND WATER POLLU'tION CONTROL SPECIFicATIONS . . MIN. SEPTIC TANK CAPACITY: GALS .MIN. DRAINFIELD, '0~t r~l~t) ~,,\ ~~Vl&.~l~ ~H~jn-.'lI'"li'&Hp li OTHER [ , PLUMBING INSTALLED BY: OWNER [] OTHER [] NAME WATER SUPPLY: PROPOSED [ ] "EXISTING [] ~ .,r' '0 TOTAL :;j?j. 1~ f f L1N, FT. MAX. TRENCH DEPTH INCHES TYPE OF CONSTRUCTION' ~~ GROUP ~'t;p, FIRE ZONF ., STAY 100' FROM ALL WELLS USE CLASSIF. . '"t..l,,"", FT. FROM PBOP. LINE: "Xt~.?,; SIDE I'NT. "J> REAR ~ ZONE !\fh"","i'- <, ,,"j, .SETBACK$,';jFT.,FROM CTR. OF r!W: FRONT if' " SIDE EXT. liiOi.~.", i1:\ "WJtl , AUT~~R 1~{fq>~~q~N~i1Jl!~~~~~~~ .' I Is! . ,f . ISSUANCEPA11;,;~", ' .~~tL\\1 ii'O:;;J ~~~ctmQ3.M:'liV1..ti\mV4';rA,'A~'J . U V.; ~~n;) , G~;,L1 BLDG. PERMIT - WHITE OFFICE COpy - WHITE' COUNTY TAX - PINK PLUMBING - CANARY BUILDING -: GREEN, ',' ,.,', SANITATION - GOLDENROD' ---:C~il\'68i'4065 to schedule 'all required cons;ructl'on iinsp~~ti~;'S. Call 687-4061 to schedule all required IMPORTANT: septic system inspections. All construction sha'li comply wiih the State Buidling Code, D.E.Q. standards for'subsurface sewage disposal and the State Plumbing Code. All buildings requi~e a certificate of: " , <. occupancy before being occupied.. " " , >,: _i'.,'". '\~', ,.:,........;~" . >.,,\;:' -''i~<'>1~'(seebetailson'ReverseSide) .'. - .... ~.. ~..~ ...... \. ' I '. .';. , , , (POST THIS PERMIT ON MAIN BLDG. AT SITE) \ C5.5-13)': LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT . COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 " , I / ,/i ~ '. r_-, ... ~ .,,:,-~,-; ..-:; .:,. - ' , ... . ';. t~'. . . .. - .. . -,_ ,,".,.-".~ :,.::". . i' o. :... ~ ... _..; . -"'~_"_ _" . '. ~ SITE INSPECTION ApPROVED /i;/Mj-~! a~~'1"a oil INSPECTOR ~ -t/CZIJU- 7 '-'~'J-7/;~ REMARKS FOUNDATION lNSPtCTION ApPROVED / / DISAPPROV~D / / DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / 1 DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED / / DISAPPROVED I / DATE INSPECTOR R E MA RK S I {lJ 14 .P.._o~ -: L""'r14.p _ . /1 i... f""1~<.P.-J---I--P fft.&P .x1 ~.-/. (P ~d./ LJ o~f Ih ,- / (')-7 S1 'CJ1..rI_ "'- # ; CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS /j") ( ) ._.1 ~'/ /',1'/ /7 j { I I " /:A-e./J7/VUI./Uvt/ C"Y;7/~~, r;:r:?:/f(~~ ~ ,! _ ,/J ~.j' / / d _ /// , " :3f);l.t.r-7.j- ff/ I~te.n,r ../;?;< 0 a~~k~ ~4?__ ~