HomeMy WebLinkAboutPermit Plumbing 1974-7-2
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PHONE
746- 7006
PHONE
6BS-l~13
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CONTRACTOR
nE~~;tt, U..'4. 4!~10
PROPERTY LOCATION - INCLUDE POST OFFICE
H~i3 Allll~~ i\Vt::.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
3;'0. A~m. '~4~'\ctNa I e M~w:)r~ LOT a Bll~. 10
253
BUILDING
MH 0
MAILING ADDRESS
An.u~~ ST., Sr:>rl,HKlF l~ lID,
MAILING ADDRESS
Fe~ MO~~OWt E~Q~N~~ o~.
PER~IT OR MOBILE ..?\E USE PERMIT
PERMIT;:;:~g"
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PROPERTY OWNER
';1;-
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TWP RANGE SECTION
~ 'r 03 ~.s..J.:) :JI t//~
APPL
u. A. HE~~RY
NAME
& h~~'IO Fo~ HOllOH RD.
TAX LOT NO, CODE CENSUS TRACT
]4..L;OD
EXISTING STRUCTURES ON PROPERTY
HOMK-GARAGG:
LEGAL ACCESS TO PROPERTY
AlU:N A\J~:.
PROPERTY SIZE - FT,
MAILING
ADDRESS [UO\W~, CR. 97405
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
SMO~ GU9lDING-P~MP & ~~RU SHO?-
Connect to Existing' Sewage System 0
TYPE, CONSTRUCTION SQ, FT, # BDRMS
5-N 2vG 0 ~!
New System 0
VALUATION
h-:::>
SEWAGE DISPOSAL
PUBLIC 0
BUILDI,NG
~ WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
$
OTHERD
5.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
. ,'-
PUBLIC 0
o OTHER
TOTAL
$
1).00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
L1N, FT TRENCH WIDTH FT,
OR SQ, FT,
MIN, SEPTIC TANK CAPACITY
WITH DIST, BOX: GAL E}t '5TS
ne> (J07 DrilVE ovtJ:P. DRAINITIEll..D our.cIt~G CONlJTRUcrIOt-J. STAY va vl!:[!;i V~Ot-1 AU t"tli'2'rS 017', mtdr\n:',~;
\:n ,~~ NEll CO~JSTfweY HJN. RES~RVl! AM ~lEPI.ACO:t.Il!N7 AfH~A V'OR or~A H,1~'''1 O:~_D.:
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\.11.\""".-- .~.. . -,'
TYPE OF STRUCTURE OCCUPANCY
5~N J
BLDG, SETBACKS __ FT, FROM CTR, OF ROAD RIGHT OF WAY
SI'\I (;"
FRONT v SIDE INT, J SIDE EX!. ~o
AUTHORIZED SIGNATURE -DATE
/.r;/ ,I. r:.. DOSS, DV, C ~ H Il~BAUGH
ZONE
PUBLIC UTIL EASEMENT
REAR
USE CLASSIFICATION
7' PUE ~!" :';;:';r," ~:..',
R. LO\\IRY, SArli TMH A~~
DATE
1~2=7:'~ JI'1
BLDG, PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SAl'o!lTATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require ,a' certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM :::f: C55-13
(POST THIS PERMIT ON MAIN BLDG; AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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RECEIVfF""'''\~
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By
JUN 1 71974
LANE COUNTY
ENVIRONMENTAL MGMT.
1087-71
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