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~4enday <br />AppL Rev, d;:' , ..... <br /> <br /> ~2-17-79 <br /> <br /> i¥1J'~l'~lUl~ bLFU~'d I Y <br />DEPT. OF BUILDING INSPECTION <br />Senator Bui]d[ng ~/' 225 <br />220 High S:.. N.E. 2nd Floor <br />~lem, Oregon 97301 <br /> <br /> 588-5147 -- 588-514~ <br /> <br />Type of Permit: /LD]~}.,).0'AC'~' O.,~(]K ~,, '[ax Lot No: <br /> <br />Owner; S2[lvO~ter P~licek Phone:67~57~ Address; same a~ above <br /> <br />Bldr & NO,,;;,, Phone; Address: .... <br /> <br />Plans by: Phone: Address; <br />M~e e°ge "[~'~'~ I ZoeeChg "~'rt'4 . ~]?~ I~ ~. U, ' ......... v,ri~nee t Fir~Zone ~ O~an~y ~ TY~eo~ Con~.. <br /> <br /> ~ 2 baboon mobile home <br /> <br />LotNo .... 81k, No:-- Subdv LotSize 2 1/2 aOr~mer? <br /> <br />S~age :~e?tic Site <br />D,~possI EvaI: Permit Fee;~ <br /> <br /> No_ <br />Area of Bldg: '~ ~ ~.~ Stories; Stere Surcharge:: <br /> Roof <br />8~ment:: .-- Type;; Plans Chk,, Fee: <br />Heating A~eq~c~ chec~ <br />System;: Septic Permit Fee; <br /> <br />BTU: Total Fees: ,,, <br /> Rcpt_ No <br /> <br />VALIDATIONSt ' ~ j <br />~E~ARKS <br /> <br />home will be removed mp~n placement of new mo home. <br /> <br />PLEASE NOTE; Driveway arid sidewalk inspec[ions are require~ bt/ Public Works; 588-5036 <br />Other permits mquired by this dept: Plumbing [] Electrical [] <br /> <br /> <br />