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Permit Plumbing 1977-3-21
. .......v:..,...4""-.-'>-IV't. _....-.....-''0''11'-.....- ....v.-'J'.. >>-~ ,........i:.~;.;::;..;:...r r "':..r""-~" - -...~"" - -.. ,..... "" ....-.- /A,/O?;r ~~ U~;;;;;;:;'. ',.-- ~,' .'.--. ;--f')' :~,." .' il . l_! !_ , , PERMIT # !/'If,, , JOB LOCAT ION ,..a-p,./ ~.::.':.,~.,~'..~" "~"'" ,'- '_)r:' ',,',;;j;.-, 'h' ?:;<{j'P'" o-"';t/.if...1/ ~.J""''/''__-~- ~:',- j;:"'fi"/& 41i::U'-/-<.I'....~ ,. ~,/i_. ;7 /:"7'-" . ,r r} ft'P'Y .I / I' '''< . " ~' ,.. \'... ' . . 7-' /.., - . 2.~' "2' .nO v TRS TI ,/ --L/,,'?-. ~~ -.. ,C;~ .' I, _ .. " :.", LANE COlJNTY PERMIT .~ . ) Completed Subdivision. <c. LO,t Blocl< . . .. .: ~ , .' ,,-~- A'PPLICA' NT"'.S.N'AME' AND ADDRESC', .r;J"~t?/:r-;j ,-ii7:r':'b/~'". z.',2 L...L:""",....4:::'c" . Pr..!/). ....q?~i'V :?'/'Q.d /$.;:;.2'2,;:'://);1;:'; , ,;""\ L/l.~~A::;.,,,,,~:,"'7r~f/ ~~""r-;i(~ 7~__~ .If-~;#/{~/ -O~ C41l-~/~~'."~;;:.p-~~.{~~ OWNER;S NAME ANDADDRF~~' .,c'~i:""~:.tt.p"'E' .- CONTRACTOR'S NAME ANDADDRES~ "c;':4il~yE -, Mail permit to ()t(Applicant ( ) Own~r ( ) Contractor. ) Prefer to pick up. Call . STRUCTURES NOW ON,THE PROPERty,'~/:~D '.,ISPERMIT IS FOR' .'.l, .:' .:F J;,{ 'p: L:,<.~, '"..' '., .,"if}; i-l'~1 "j,/{ # B~DRdOMS # PLUMBi'NG CONNEC;iON~ '. -. ,. '., ,"':1' ... '(" . . ...r " WATER SUPPLY PA.//../.&!,?(,) r.:.vA~t::(~.IA(:_i7:' SEWAGE DISPOSAl ~'66-ft7)~ . S.1. # "<f., THIS PRO~E'~TY ISW'ITHINONE, MI LFOF THE CITYOF .~5P~bt.lt;2z:::/'c.c.,O PLUMBI,NG BY . /)/;( '~,,";\i,jt':"_ . .... " . - . '. ~(. , . ""r~.;;, I hereby certify that the. above ,statements are, true 'and accurate" arjd .that I h<:1ye the fo \.Iowi ng legal i nteresLin thf proper,ty: owner o,f record; contracLpurchaser; potential buyer; ,realtor,or agenh I further certify that (if not the owner,)larn authpri~ed to act, for the owner of record, and that said ovimer i'saware and approves of this actioh. I he~eby agree to comply with all,applicable Codesrelating toithis permit. . ' I - . . "'. '~...,.".~ .'. ' " .~-::;- /' f.,' /./ 0'# . ' .6".... ~ '-.I . Fee Paid $ " /jP'J: ~c ' ". " Signature,?~<>"{..,,~.l-C";'...-i!!~': /16:~."ill h,L')~""~/~'~.'Date ,3/$ l/;. ,,77,,",' . - '. ' '.:Y ~/,. - ,;, " 1" ,,',.:,: ::., ( ) NEW ADDRESS ) FACiLITY PERMIT TO TR,~N,~~~:R~~TI9N DEPT. "'(), SPECIAL PMT. AR EA. MIN.-I; LEVA!ION: .',,:lr. ,~\SANIT ATION BUILDING ;- Type of Construction IJse Classification " Acreage' or Lot Si?"'_ Contractor's O.S.# Partition i ng # . Phon~ 7T"'7;..~J Phonp .- -"Phonp . (owner; etc.) when ready. . '. Minimum Septic Tank Capacity (Gal,lonsl. DraiMield Required - Lineal Feet ' . Maximum Depth ' Group Fire Zone. 1rDmer1ts: ' Comments: , "l'. . v'':;', ';',..--' I , ..' , ~~. ,. . , By: Date: . . PLANNiNG REQUIREMENTS SATISFIED. By:, ': ZONE:' SETBACKS: (RONT .:< ,...... -,._-~y~~- ,.i"."; . . . -.... } Date: " I f .f ; :'?f , LAINE COUNTY DEI:ARTMENT OF ENVIRONMENT~L ryIANAGEI'0ENT, 125 E{AST 8Tf-:! AVE.;' EUGENE, OREGON 97401 ~" l t '"., : _ < . ~ . ... POST:'THIS PERMIT ON MAIN 8'LJILDINGAT SITE ~,., ~ r' J.'. . :' ~. ~'.' . ' t - - . >. . I?LDG. PE.~MIT -:- WHITE; BUILl:)IN.~t- GREEN; PLUMBING - CANA'RY; SANITATION - GOLDEN ROD;' OFFICE COPY-, WHITE " " ""', .' .,l,"C55-13 .\