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24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />9ANTIAH HOIg].LE HOHF_S <br /> <br />SIGNATURE 0¢ APPLICANT: <br /> <br />TAX LOT'. ! C~TEGORY: <br />§64;¢e000 COMMERCIAL <br />' CONSTRUCTION TYPEI ; OCCOPANCY: <br /> <br /> :1.:L37~'5 HiLL CREEK RD -- 'T' 'f if' : B~ · OCCUPANT LOAD; <br /> AUHS¥IL. LE OR ~7725 ~}2~OUNT~ ~0 ' <br /> <br />USE OF BUILDING; ..................' ...... ;~0. ~'BEO~OOMS <br />MAILING ADD~E~S: : SUBDIVISION'. <br /> <br />1., I IONE. <br /> <br />789-7744 <br /> <br />SITE HUHBEE: <br />VALUATION: <br /> <br />LOT: ~lOCN; ..... i SECTION; I ~6~7~; ...... I ~b~ I ZONE: MAP: <br /> <br /> ........... .................... ........ .... ..... <br />I~/IDTH: ,CEPTH: ' AREA'. ; UNITS; IRREG. LOT; i CORNER: <br /> ' ' NO i NO <br /> <br />TYPE: PLUMBING PERHIT OR APPLICATfOI'I NO: 9853818 <br /> <br />CONTRACTOR,, fiD. <br />SAN'flA~ MOBILE I-IOHES <br />SAME <br /> <br />PI4ONE: <br /> <br /> ZTE~4 <br />WA~ER LINE.,S, i,~T 180 FEET <br />SEWER LINES~ 1ST I~8 FEET <br />PLUMBING STATE SURCHARGE <br /> <br /> TOTAL ASSESgE~ FEEB <br /> PRE~OUS RECEIPTS <br /> THIS RECEIPT <br /> <br />QUANTITY <br /> 1 <br /> 1 <br /> <br />AMOUNT <br /> $20.00 <br /> $~8.00 <br /> ¢28.. ~ <br /> $~. 50 <br /> <br /> $0.00 <br /> $52. S0 <br /> <br /> PAYEE: SANTIAM HO~ILE HDHES RECEIF'T HO: 562B? <br /> RECEIVED BY: CL ................................................... TYPE: CK CHECK :~: 846~ <br /> <br />~ THIS IS NOT ¢ PERHIT. TH~SAPPLICATION~UST :GO :THROUGH A REVIE~ PROCESS WHERE THE <br />FOLLOW[N6 ~UST ~E CObPEETE~.ZT IS T~E RESPONSZ~L[TY OF THE ~PPLICRNT TO ¢SS~EE THaT <br /> <br />PLAN REVIEW; BY ................. ~ATE% ......... .......... :~_ <br />REd, ARKS: WL/SL <br /> <br />CITY JURISDICTION: BY ................ DATE ......................... <br /> <br />OFFICE COPY <br /> <br /> <br />