HomeMy WebLinkAboutPermit Building 1977-2-2 (2)
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JOB LOCATION
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PERMIT #
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LANE COUNTY J;>>ERMIT
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Acreage or Lot Si7P
Contractor's O.S. #
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Partitioning # ,: t:: " ': 1+ t}Completed
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APPLICANT'S NAME AND ADDRESS ,f".
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OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( ) Applicant (l.+C::>wner
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) Contractor. (..-,~) Prefer to pick up. Call <Y.Je;f~~ -. L/[/Llc'~r6'wner etc.) when ready.
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# BEDROOMS 4 # PLUMBING CONNECTIONS
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SEWAGE DISPOS,AI 7// tf~ ::; -l:.r- -70
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Subdivision
Lot
Block
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STRUCTURES NOW ON THE PROPERTY
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THIS PERMIT IS FOR f. ',Lt ",_.Iii....x
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WATER SUPPLY ,_..,.1:';--/~ If (, {'
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THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
. 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,tnat\ (if n?t the ~W[1er) 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 comp"! wit~ all applicable C0des relating to this permit.
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Fee Paid $ .. I<:'..\~>, 0 !?J Signaturei / 2" i' 1':..?4,:~0A'.i/ r, ..,1..4'1/.'1,.r Date j!=):--~ :: - ,.- ,I
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) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. ,() SPECIAL PMT. AREA. MIN. ELEVATION:
SANITATION
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BUILDING ~-=-- ~~"
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. I:: rfo'i,d Type. o~ Construction "",;t: 1~ ,,"" Group
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Comments: (j/
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Fire Zone
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Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal f=eet
Maximum Depth
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PLANNING REQUIREMEJ\JTS SATISFIED. By: ',;.0://1\ -,~~~"
ZONE: (1. Gv7 SETBACKS: FRONT.,,5'lJ1'! SIDE 'FACING STREET
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
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By:
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Date: ~.-;{--rl'~ Date Issued:
(FROM C!Ll INT. SIDE YARD5f REAR..5 Q
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(FROM P!Ll
PHONE: 687-4394
C55-13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE
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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED I
I DISAPPROVED I
REMARKS
GAS PIPING GROUNDWORK
ApPROVED I
I DISAPPROVED I
REMARKS
ROUGH PLUMBING
ApPROVED 1.><1
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DISAPPROVED I
REMARKS
ROUGH GAS PIPING
ApPROVED I
I DATE
1 DATE
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DATE S-25-7 1
I DISAPPROVED II DATE
REMARKS
FINAL PLUMBING
ApPROVED I -VIol SAPPROVED I
REMARKS
FINAL GAS PIPING
ApPROVED I
I DISAPPROVED I
REMARKS
CERTIFICATE OF OCCUPANCY
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INSPECTOR
, INSPECTOR
INSPECTOR
INSPECTOR
I DATE/:J.-d.-77 INSPECTOR
I DATE
READY TO ISSUE I
I NOT READY TO ISSUE I
I DA TE
REMARKS
INSPECTOR
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fNSPECTOR