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SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> th~s document. <br /> <br /> '~qF..THEL., DAF;Rlii]... & MARSHALL, CALVIN <br />:OWNER; <br /> <br />~I~Us ADDRESS: : CONSTRUCTION TYPE; <br /> <br /> ; HERR ];F'3:ELD A~DI'f'ION <br /> PHONE: 769-3597 ~ VALUATION: <br /> <br /> ~ , <br />: :L 8S I 2W <br /> <br /> WIDTH; 108 DEPTH; 18~~AREA; 1e8~-VN'T~F ~tR~. LOT, <br /> <br />TYPE: BUILDING PERMIT UR APPLICATION HO= <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 9~49271 <br />ARCHITECT/ENGtNEER~ <br /> <br />PHONE." <br /> <br />TOTAL ASSESSED:FEES <br />PRE¥IOUS RECEIP'[8 <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $500.50 <br /> <br />$0.00 <br /> <br />~ THIS IS HUT A PERMIT. THIS ~PPEIcATION;:HUST gO THROU§H A REVIEW PROCESS WHERE THE <br />FOLLU~IHC MUST BE COflPLETEO,,iT,IS:TWE,RESPONSIBIL~TY:,OF:THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORMATI:UHHAS::BEEH;PRUV[~ED;::= <br /> <br />F'LAq R.E¥IEW: BY ~ DATE ~...I,~. HEIGHT: 22 SETBACKS: FR ,56 <br />ZONINC,. BY ......... ' .............. 7 DATE-~T"--?-'"?~'"':~'" TOTAL SQ FT: 3456 LS'"38 <br />SEPTIC: BY ............ ~:~ DATE ........................ SI'OR,ES: 2 R,., 8 <br /> ......... ~ .... PLAN.ACTION: RR'""3~ <br />CITY ,JURtSDZCTION: BY DATE ENERGY PATH: 1 S".~ .......... <br /> <br />REMARKS: 4/F'LEX <br /> <br />'¢ <br /> <br />POeM ~ ~C ~.,~ ,e,,.,~ OF FICE COPY , <br /> <br /> <br />