BUP1977-1091 c
CITY OF
10 —
"TI DING PEPU�T APPLICATION t FGARD DATE � �� )9 7 lt- 1�
TH_r_ UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPE IFICATIONS. OWNER PHONE
OWN'FR /!/[ , ADDRESS IaBUILDER PHONE 9K/
ENGINEER
n���rZc ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL ADDITION ❑ EPAIR ❑RENEWAL ❑FIRE DAMAGE (]DEMOLITION
RESIDENCE ❑COMM 7EDL'CAT!ONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT• ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW
$9 ❑COUNCIL APPROVED ❑SIGNS
OCC ANCY LAND USE ZONE BLDG.TYPE FIRE ZONE-1 PLAN CHECK BY HEAT•
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OCC LOAD FLOOR LOAD HEIGHT 1--& NO STORIES ` AREA VALUE A.%9-.1
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
IPlan Check it REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANICE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR Ar. if) CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State LICENSE. SEPARATE PERMITS REGUIRED FOR vER, PLUMBING AND HEATING.
Total
-� APPLICANT 04 AG-N
Approved I I Receipt No.
AODnE55 PHONE
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MURNELL AMBROSE, Builder
Telephone 344-8806
285 West 31st Avenue
I EUGENE, OREGON
97405
977
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