HomeMy WebLinkAboutPermit Building 1981-12-7
JL
,:5-.-d-:4: r-~~lrcV C{j/\ .
'(3s-.s'
LANE COUNTY NSPECTION
,-r~AdIA~ j2~J2Q~
rONlRACTOR I S NAME --- /I A '. ' - 0
~~-
SET BACK REQUIREMENTS
CL, FRONT <:V CL, SIDE
WORK AUTHORIZED BY PERMIT
/7-03 - //3 ,
,,;~
RECORD
OWNER'S NAME
PHONE NUMBER
PHONE NUMBER
HPLUMBING FIXTURES
DIRECTIONS TO SITE
INTERIOR~' REAR ,<...-
~\~>>n ,,' ~R
~ ~~ ~~ If(-J ~p.--:
..- I~.' ~ ' ~
o j) "
JS.I:L-!t ~. ,..I U I etv / /A,. _--'/._ .
I J
:r-- 'i} d - ;r J
PERMIT NUMBER '
34/ ~-
SITE ADDRESS
FOOTING / FOUNDATION INSPECTION OR MOBILE HOME SET UP
Approved Correction Disapproved Date
1.2-7-2~ ~~.,'~~. ~.~ O(~_
~-" .... 71'2- ~~~ _ _ - QfI..-~~
CONCRETE SLAB / UNDER-FLOOR INSPECTION
'Approved Correction Disapproved Date
INSPECTION
InspectQr ~J 51!.:)..
j /"Y/
/ ~,
A_~/~_~ ~
~d'--'
Inspector
\6..1 rt:..
, ,
UNDER SLAB / PLUMBING GROUNDWORK INSPECTION ~ //
Approved Correction Disapproved Dat~
"1,- /lJA/-;,J...L \ I ~
ROUGH PLU~1BING INSPECTION J]v ~J ~ . r"L-j.-rp
Approved ~ectio~~sapp~. f7#Jj), 1p Inspector
f; )() IV: ' O.J-/- <c )t /Iv -
FRAMING SJ1ct~ f\ (yiP 1iJ~!iJv
Approve ~~rrectip~ D(~prOVed Date
INSULAT,N /IAPOR BARRIER INSPECTION
Approve Correction Disapproved Date
/
Inspector
Inspector
Inspector
LATH / GYPSUM BOARD INSPECTION
Approved Correction Disapproved
Date
Inspector
FINAL PLUMBING INSPECTION
Approved Correction Disapproved Date Inspector
FINAL WASTE DISPOSAL SYSTEM INSPECTION
Approved Correction Disapproved Date Inspector
FINAL INSPECTION BUILDING MOBILE HOME
Approved Correction Disapproved Date Inspector
____._____0____
CERTIFICATE OF OCCUPANCY TEMPORARY CERTIFICATE OF OCCUPANCY
Approved Correction Disapproved Date Inspector
Form C74-197