HomeMy WebLinkAboutPermit Building 1977-12-6
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LANE COUNTY PERMIT
Partitioning #71l1417.57 ) Completed SubdivIsion
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APPLICANT S NAME AND ADDRESS d
OWNER S NAME AND ADDRESS
CONTRACTOR S NAME AND ADDRESS
Mail permit to ( ) Applicant ( ) Owner
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3-111- '7/
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Block
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) Contractor )J ~rPrefer to pick up Call /'7b- 'f'7Lf 4_(owner etc) when ready
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STRUCTURES NOW ON THE PROPFRTY ~2/ lfl.ea/'u:T-cr/YI 'l'l~~ -I- (:>V' tOt/V '-?JClk1d .... /! <.J v Il "
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THIS PERMIT IS FOR U&"lt:.!, tA ~r\t.) -= (;//Jt.O-t/lt (..() /:zL..(-I:LY /'f/:I/= BEDROOMS 7# PLUMBING CONNECTIONS /
WATER SUPPLY ~L--'&o-r..iJ SEWAGE DI~POS;; .;2,~~I-"", Q.t~~. ..<,...)~ I #
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THIS PROPERTY !S WITHIN ONE MILE OF THE CITY OF, - , PLUMBING BY ,/{;1.,qt1-.{ .l....CL,.&_ '--€../
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I hereby certify that the above statements are true and accurate and that I have the following legal Interest In thp oroperty owner of record
contract purchaser potential buyer realtor or agent I further certify that (If not the owner) I am authorized to act for the owner of
record and that said owner IS av:.,a'fe and approve;Js of th s action I hereby agree to compJy wrt-h all applicable-Codes relating to this permllt I
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Fee Paid ~ In I'.... ,) () '= / =>1 U u Signature C>" ,6 ~ ~ Date
( ) NEW ADDRESS ( ) FA"'CiLITY PERMIT TO TRANSPORTATION DEPT _ ( ....)/S'PECIAL PMT AREA MIN ELEVATION L5.~.Lo-z..J
SANITATION.....
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Minimum Septic Tank Capacity (Gallons)
.".f l)""G Dralnflefd ReqUIred Lineal Feet
":0 ",__M,axlmu~ Depth i i _ -?_ ~7 r.- (J
Comments J?c<.4h-t.O ,-;/.--:r. ~p cn,\ ....t....7fv rt..i"'7........J
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BUILDING _
.......5j.J Type o,t Construction ..:t;.____Group
.A A /? Use ClassltlcatlOl'1
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Fire Zone
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By J?:':/ ~~~. Date (2:,;1'1'17 By ~ 4~"~'-' f.~-t- ~~ate/:2. -'~.-77
PLANNING R~'pUIREMENTS SATISFIED By ~;;~ j Date 11- /?-. 771/ (/ Date Issued Uec 7J IcY"r7
ZONE 1f'1(;...!,j/ SETBACKS FRONT 2)Z) f SIDE FACING STREET (FROM CIL) INT SIDE YARD j..s REARao (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVE EUGENE OREGON 97401 PHO~E 6874394
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POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG PERMIT-WHITE BUILDING-GREEN PLUMBING-CANARY SANITATION-GOLDENROD OFFICECOPY-WHITE
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