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.a.c. ~ cit of Salem Y 588-6256 ~ permit application center 401418 ~~. • City Hall 555 Liberty St. S.E., Room 320 Zip Code 97301-3503 F'~.t•Jt=:L Fc:F.LL,~: .-~ %~~. ? r-•Et~cF ~_~.• ~r.. ~• ~' r•. ^r -. ~ - •~ _t~~.t~1, r~~. ~~,; ,~,~, 1[~ t~1~~~~~i~ Zi.ic h! iPEr=:T~;~ AL~L?f-'tEi;~: SSL ~.~C~I ~f;T '~T NF !:if•~EF:: +}tAF:IuN i;U! ~P~ITYI~ALF=t~1 AREA TF'-=~IV~: i ~~C~ HIC~H tiT NE 3s=t~.FM, GFt 97L=~ia 1 -li ~ME FHL~iUc: `.~U~ti~-: PHQSVE: ~.r'~(1 i~ r,r-,:;~,-Lit.':1'-! :t'~_+Il._~:~Ih4+_a i=;~F:!'~1:1:~T ~f~r' :9-ii1~.1:_~ L~U I L.I;FF; : #h:_i4:,-:+S F'EIV+_ E k~:ELi._Y '~74: ~'EI~i= E L.F 5F !~ALEM, ~ ~F: 5'7-3i:+~~ FHC~tvE: (5~:~:i> :3~•~-72~'~~ =:t iNTAL:T PEf~~~iN: LE~i1~EAR~~ LC~1?I!EF: FI-IGtVE: c Sr_~3> ~,? i -:~r.•~+•_~ ::r- T'{ L~GATIC~td: L.~ ~"f i 8~~~~C~F~_- A+~GG! ~1VT # TAX L~.iT # =~+_~IFTI+~+rJ ~=~F Wl.~~t~~: C~~i~t~IT`t ~iFFIi~E b!lILUIN!a Ar~~~ITI~ ~1'~1 1 Z ~ {fV I Nu ~~F.' *'~ STR~ ~CTIlF'tE I?ATA * ~~ ~° *~ FEE I;.GMF'UTAT T utJS ~' * :T I C~N: EREt::T CCIMMERC I A[_ ~% ~;~~ f. - !MPER C~F .S7~~RIE~: 5. u I.APt~~, ;+ MATEF.IAL ~OST: ~~i~~~~~.~ . i~i+ JILL~INC~ SO FT: 17~?:~d4 PLAN~: ~~HECf.: F~EFcMIT #~,'n~~y1~5~ ' a~AC~E ~~t FT: 11~~1i~7 ~: ~`:. .' 'F~ C~~~NSI"RL~CT I~~N: I -FR ~F'~ INk:: : :`"%• ~ _ . ~ :T PARt,ItV~a: , ` ' ~ ;~_s IF'Ai~1t:~' t~fi =J~+E: i i~'FICE ` ~ ~ . ~ :GUF'ANT 1.~7r'~T'~: '~6=~:~ C~CI.I 1='qN~; Y GF~~LIF' ~ E;A3~'~: ~ AIITI~MAT I t_lN FEE $ ~. 5ll ~Nt, L~SE GAtiE #: A~{BM/~;:i ~HE~t F'ERMIT~ f'tEG!~JIREL~ BY THIS I:~EF'AF~ThIENT: AL~PITI~=~NAL F'/C ~10~1+~~i.~3- _ HEA T T tV~ _ 5 I G~EWAI_k:: _ S I~~N _ FL~ ~~~D F LA I N FEFtd I T' FEE ~d6'~:~'~. ~~ u .~LUhiP I Nu _ L~~ I L'EWA i~ _ 4+lr~TEF? , i iTHE~ STATE SUf-c~:l-~ARC;E: ~:+ 16 .~•5 , ELECTFt I GAL ~ STOF;M SEWER _ tiEWEF~ _ h1C~1VE fiE. I SM I ~. ~~~RCHAR~~E ~ TGTHI. Iy~JE ~+3c 15-1. 3'.~?.. 7HE UNt~EFtS I GNET'~, C.ERT I FY TNE I f~FQRh1AT I ON F'ROU I GEI~ ABOVE I 5 G~~hFiEGT. ANU Tf.I~E . A~.~REE TG Gt~MPLETE THE I NtiTALI_AT I ~~N`~ . I N C~~MFL i AhILE W I TH ALL STATE AhlI~ LOGAL F~~~C:T~J~F';L LAWS, G~OI~~E~~ FtULES, REu~~LAi`I~~lV~, A(~F~F'~C~V~I•~ I=~LAN~+ ANL ~F~ECIFIGATTuN~. L? TU ~:ALL TH I ti LIFF I G~ !NE WOR~=. I N~.~ UA'( I N f~L~VF~1Vt:.:E FI=~F ALi_ RE~~tU I kEU I NaF'EC T I~~IV~ ~~~ ~~ ~ ~ fl SI!~r1ATURF'.~ . "l.f%'~` ` i Gr % _.______.__._____._. L~~FaTE 1/.~'~~/ ~ ~~,~-.-~..~ _ _______~~ . _ ~ ~ ~ f~1t~1L- ~IT a . ._; i. •~~ i . : ~:> c:~-ir.-=~_ ~~ # ~. i ~ ~~:' I'~ ~:i.1/E:fi/•av ~5~,~ V:~; {',F'F'R~~Vi==f.:~ f~:~/:~:ii/';~~~ FiY L_R~~ T'=:>~!_IEC? i'~~1 /:'fi i~=~~=, RY ~.+~;