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SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lamareglsteredbuilderOR( ) the authorized representative <br />Other .... <br /> <br /> 7492 LOFTY LOOP SE <br /> AUNSV:[L_LE OR 97325 <br /> <br />~D.~:Nt'IF AC FURE~ S) RU~fU~E su~o~ws~o~: <br /> <br /> 7725 65TH AVE <br /> SALEM OR 97~5 SITE NUMBER: 93-~2518 <br /> PHONE: 3~-5445 ~ VALUATION: <br /> <br />TYPE= ½AHUFaCTURED STRUCTURE PERHIT UR aPPLICATION NO: <br />CONTRACTOR~ NO. 14876 <br /> Western Living Hun)es Inc <br />4835 Portland Rd NE <br />Sale~ 97~05-~808 <br />PHONE: 3~3-7353 <br /> <br /> ITEM <br />NANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />NANUFACTURED STRUCTURE STATE FEE:: <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZQNINGSURCNARGE ' <br />NANUFACTUREQ STRUCTURE ~URNPZKED/W:BUILD'ING!INSPECTiON <br />MANUFACTURED SI'RUCTUEE TURNPIKE D/WPUBLIC WORKS <br /> · TOTALASSE~ED:FEES <br /> :: R,R E,¥ IOUS" RECEI PilS <br /> <br />9~48599 <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20,00 <br /> $9.10 <br /> $15.~0 <br /> $1.00 <br /> $16.00 <br /> <br />$24~.10 <br /> $0.00 <br />$24~.10 <br /> <br />$e.08 <br /> <br />PAYEE: BAGHRAMIAN, GOQP~I4~F]: ,; RECEIPT 50920 <br />RECEIVED ~Y: ~ .~~:.2~ CK CHECK #: <br /> <br />* THIS IS HOT A PERNIT. TH~S:aPPLICATION MUST GO:THROUGH:a REVIE~ PROCESS NHERE THE <br />FOLLOW,HO NUST BE COHPLETEOL'IT:::~S'::~THE'"RESPONSIBI~ITY:OF THE aPPLICAHT TO aSSURE <br />THAT aLL HECESSARY INFORHRTIONHRSSEENPROVIDEO= ' <br /> <br />PLANNING ACTION: <br /> PLAN REVIEW: ~19_~¥~_ <br /> <br /> CITY JURISDICTION, BY DATE <br /> RE~ARKS: ES/STAN <br /> <br />OFFICE COPY <br /> <br /> <br />