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Appl, Re~d: <br /> <br /> Senator Building # 225 <br /> 220 High St., N.E. 2nd FIo~r <br /> ~a)em, Oregon 97301 <br />R.H. WITI4ROW. BLDG. ADMINISTRATOR <br />68~-5147 - ra88-~148 <br /> <br />Owner: Ke:~:~e~;h ~. ~,aZt'e~y. i Phone: 769-?~+66 .... <br />81dr. & No.: ..... Phone: <br /> <br />Plan~ by: Pho~: <br />u~ ot ~:~g~ N~ 8drms. <br /> <br />Water Supply: <br /> <br /> 28 x ~4 No, <br /> Roof <br /> <br /> all electric <br /> <br />., Sub <br /> <br />BTU: ........ <br /> <br />Address: .......... '' ' <br /> <br />Address: <br />J 'iii I:ir~ ~Z~ ' O~l~ag~v J "l"y~3~ of Con~t- <br /> J J ., / <br /> Lot S~e = ~ ~.¢z'e~orner? ~ no <br /> <br />Valuation: <br /> <br />Permit Fee'. ~0 ,, ~C, <br /> <br />Surcharge: . ~,,~,00 <br /> <br />Plsns Chk. Fee; <br /> <br />~eptL' Permit Fee: <br />Total Fees: <br />Rcpt. No: (~ 70 ~ _ <br /> <br />~E~RD OF REOUI~ED INSPECTIONS <br /> <br />Footing Forms; ...... Re-Bar: Frame: <br /> <br />Plbg. Grnd. Wrk.: ....... RO~ ~b~: ~ · ..... <br /> <br />InsulatiOn: Floor.~. . Ceiling: Walls;. <br /> <br />Lath or Dry Wall: <br /> <br />Heating: . <br /> <br />i ie Tank & DrJ;n Field: , ..... ~ewer: <br /> <br /> I { Before Occupancy): <br /> <br /> NOTE;; Do not proceed beyond I)oints indicated ~hout the signature ~e Bulldi~ Inme~. <br /> PLEASE NOTE: Driv~ay a~ ~ewaiK i.s~etions are ~uired ~ Public Works: <br /> <br />Other germits te<auired by ~is dept; PlUmbing /~ ElectriCal r'~ <br /> <br /> <br />