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SEN^TOR B'OG, NO. <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 />I am a registered builder OR ( ) the authorized representative <br />of a registered builder. <br />The work will be performed by e registered builder, <br />Other <br /> <br />this document, <br /> <br />TYPE: BUiLBING <br /> <br />P£RNII OR :APPLICATION NO: <br /> <br />CONTRACTOR, NO. 78585 <br /> Cascade 9ecl¢ing Inc <br />U~5 Cascade HWy SE' <br />Salee~ 77~01-0B00 ,:::~ <br />PHONE: 588-5254 ,]ii ~ PH0NE: <br /> <br /> 91t~§142 <br />ARCHITECT/ENGINEER~ 140, <br /> <br /> ITEM <br />BOIl. DING FEE <br />PLAN REVIEW <br />BUILDING STATE <br />ZONIHG.SURCHARGE <br /> <br />OUAHTITY <br /> <br />PAYEE: ED. ACE Mi <br />R~:CEIVED BY~ PB <br /> <br /> THIS IS NOT A <br />-FOLLOWZNg HUST BE <br /> <br />AMOUNT <br /> $56.50 <br /> <br /> $2.8~ <br /> $2,83 <br /> <br />SEPTIC: BY <br /> <br /> $98.89 <br /> $0.00 <br /> <br /> $0.00 <br /> <br />'!':?:::! 5804~ <br /> ~ TYPE: CK CHECK ~: 4002 <br /> <br /> REVIEM PROCESS WHERE THE <br />~HE APPLTCANT TO ASSURE THAT <br /> <br />C~TY JURISDICTION: BY_.t?,,,.:r__ TE ......... . <br />REMARKS: GARAGE: <br /> <br />STORIES; . <br />ENERGY F'ATB: <br /> <br />480 <br /> <br />SETBACKS: <br /> <br />F'R/O <br />oeP. ............. <br /> <br /> OFFICE COPY <br />FORM # MO 15-t~ R~V, 4/90 <br /> <br /> <br />