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HomeMy WebLinkAboutPermit Building 1977-2-2 (2) I, .', ;.;., -;Y....-~ ~/ t_ / JOB LOCATION ~~? ,~: ~ _ iC/ A. PERMIT # ., < "': C' ./tRS, TI f ~;.;~~--:l . -;;:) i! /1.... ~ Ii ),' <,"-J vo t!;i (~~;: ,~~ C'- ,~! .( "<~~t,,"~!:::f , , ... __~ I ';~f''''o## .,,! C.~-} I: 'j ..f ,/,; LANE COUNTY J;>>ERMIT i~, . 1/ Acreage or Lot Si7P Contractor's O.S. # J, . .F.J "'J - /.... /,, {jZ l~- /~_ ~~~.n ,. ,hr, 1 (.; >. , Partitioning # ,: t:: " ': 1+ t}Completed Il .:;l APPLICANT'S NAME AND ADDRESS ,f". " OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant (l.+C::>wner (.,,;;,<'.. '-!';-";;'/y' J~":"'~'/I~""" . (.:: 1"1:-".//5' '=-'j'fA' , < ".J' ,f ' 1.......:1' /' ,"', L//:.: (,/_,' .'....c:, ',<:; ~;f'" ~,f.;i1 Phone> /e;/;:.". /1 Phone> / ~.r 1. . l..." ''"' Phone> ) Contractor. (..-,~) Prefer to pick up. Call <Y.Je;f~~ -. L/[/Llc'~r6'wner etc.) when ready. ~ L/ -- g Q , . ',V) ,j .' ,/ 1/ ,r1 , , ' /v if ! rOt" t",:r".t b t/". ,I /_ .1/;- ,~;.-',')'_,v_'/,-~'.l/.. ,"_1,./ ~ t_,"1' _ i'.....4' ,,~l ~.."" ,..' S'. ,'I ,7~" '~,~.~; ,"'jF J ( . If..l. ~- j. ;../' _ V _"'" ___,r- '\, ~_' .-'t~' t , &___' . ,~r;fl.';' ..' _ .-1'; .-, l! I'_.{T,' ,,~ - - , I _;~ ~ r n' ~~ # BEDROOMS 4 # PLUMBING CONNECTIONS .1)' I ?-o. SEWAGE DISPOS,AI 7// tf~ ::; -l:.r- -70 I ~.../ /it . -. "'; ~,. -I.....'. fV-) /~,~.4 ~;,~ ,'= /! ...,,' ;.("'. l/~ Subdivision Lot Block , , , -: STRUCTURES NOW ON THE PROPERTY )JI /./ THIS PERMIT IS FOR f. ',Lt ",_.Iii....x - I <0 WATER SUPPLY ,_..,.1:';--/~ If (, {' ._,' ': f ~,.~:/ j ,,~// t..? :::- S.I. # r 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. , . . ' ~f ; _..P~" 13 Dt .', ....~p~."t.? _ . r,-;,/ -=j) <?';? 'r . ~,'-",.<";l, '.1 ,refY " I' / """.l' "1 "c,l Fee Paid $ .. I<:'..\~>, 0 !?J Signaturei / 2" i' 1':..?4,:~0A'.i/ r, ..,1..4'1/.'1,.r Date j!=):--~ :: - ,.- ,I _.- -... ~-' ) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. ,() SPECIAL PMT. AREA. MIN. ELEVATION: SANITATION / BUILDING ~-=-- ~~" -r~ ~~; .j- ~1' Ii . I:: rfo'i,d Type. o~ Construction "",;t: 1~ ,,"" Group .,..;' ,';:'.cf' LI CI 'f' . c.:.:-:;;.' A'A.-'1~'1'" ::';7:: -';';;r~e assl Icatlon t.Y . Comments: (j/ '2~ .-.$" Fire Zone _i Comments: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal f=eet Maximum Depth 11 ...f t..k:l e ~ " If,~''''~C 1L/7'!> n"'<... ...J>U."J fi~ J!y /W 11/1/1 s 7~'- 7~ . / / ()'l() B r"",j , ,I .. D y: r It tI !,...,.1i.-V''''''', ate: PLANNING REQUIREMEJ\JTS SATISFIED. By: ',;.0://1\ -,~~~" ZONE: (1. Gv7 SETBACKS: FRONT.,,5'lJ1'! SIDE 'FACING STREET If LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 thl/~1 By: ,---:t- { " ,1 " .. -, ..,., ".' '. I D ',-/=' -, ,f'.:"~;' <j';"'.,. " . /. .. " .., . , ate,: Date: ~.-;{--rl'~ Date Issued: (FROM C!Ll INT. SIDE YARD5f REAR..5 Q -t;:..C:~; .~_,"" ~" (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 ..... SLAB FLOOR PLUMBING GROUNDWORK ApPROVED I I DISAPPROVED I REMARKS GAS PIPING GROUNDWORK ApPROVED I I DISAPPROVED I REMARKS ROUGH PLUMBING ApPROVED 1.><1 .-- DISAPPROVED I REMARKS ROUGH GAS PIPING ApPROVED I I DATE 1 DATE I 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 '., 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 ~ lP~ fNSPECTOR