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SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> am performing work on ~ property I own or occupy. <br /> am a registered builder OR the authorized representative <br /> of a registered builder. <br />The work will be performed by a registered builder, <br />Other. <br /> <br />q:~8.- 11/27/89 <br /> <br />StTuS ADD¢~:~EY" STEVE <br /> <br />, CAYE~ORY: <br /> <br /> OCCUPANCY: COMMERCIAL <br /> <br /> 7243 SHAN HNY SE : <br />AUMSVI LLE OR 97325 ~ <br /> <br />O~CU PANT'~OAB: <br /> <br /> NO OF BEOR~)M$ <br /> <br /> : StJBDIVtSION; <br />MA~UN~ ADDRESS: RESTAUP, ANT <br /> <br /> P.O. BOX 290 / REi~< LUCAS <br /> AUMSILLE, OR 97325 <br /> PHONE ~ 749-25?6 <br />[ CT: BLOCK: ! sEbTION: <br /> <br />WIDTH: DEPTH: ; AREA: <br /> <br />SITE NUMBER.' 8598 <br />~AT'I'ON: r zoNE: $0 . O0 MAP: <br /> <br />51 <br /> <br />TYPE: BUILDING PERRIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />SENE'Y, STEVE / BLAIN. JOEL-BUYE <br />P.O~ BOX 290 / REX LUCAS <br />AUMSILLE, OR 8?328 <br />PHONE: 749-2576 <br /> <br /> ITEM <br />FLEET ~URCHARGE -ZONE 2 <br />ADDITIONAL SURCHARGES <br /> <br /> 9020435 <br />ARCHITECT/ENGINEER, NO, <br /> <br />PHONE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS: RECEIPT <br /> <br />(~J~uNTITY ANOUNT <br /> $2.56 <br /> $35.00 <br /> <br />$3?.56 <br /> $0,00 <br />$37.56 <br /> <br />BALANCE DUE $0~ 00 <br /> <br /> PAYEE: GENRES,, STEVE / BLAIN, JOEL-BUYER'~¢'' . 21688 <br /> RECEIVED BY. >oo< CA CHECK ~ 0 <br /> <br />· TH~S ~S NOT A PERNIT. THISAPPLZCATIONNUSTGO THROUGHAREVIEN PROCESS INHERE THE <br />FOLLONING MUST 8E CONPLETEO, IT ISTHE RESPONSIB~LITYOFTHE APPLICANT TO ASSURE THAT <br />A <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED; <br /> <br />DATE <br /> <br />ZONING*. BY_~3,)¢.~____ DATE_'3L_I,3_L~o <br />R~RKS: ~R~CY ~G , ~OP TO M~T ~ING SENIOR <br />HEIGHT: 15 TOTAL SQ FT: 0 STORIES: <br /> <br />CITY JURISD!CTION; BY ........ DATE <br /> <br />chond~* 4-0 <br />LS____---%_ ~S -- RR <br /> <br />SP <br /> <br />1 PLAN.ACTION: <br /> <br />OFFICE COPY <br /> <br /> <br />