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SENATOR BLDG, NO. 225 <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 />of a registered builder. <br />The work will be performed by a registered builder. <br /> <br />OA&KEDORY: <br /> <br /> :~ESZDENT!AL <br />OCCUPANCY: <br /> <br />Od~tJ ~NT i_dAD: <br /> <br />TYPE: MflNUFACTU~EJ) STRIjICTURE <br />CONTRACTDR~ NO. <br />b D Sull:~w~n <br />22~ N Pacific: HWF <br />~. odburn. <br />PI~ONEs 98J ~J. 46 : <br /> <br />NANUF'ACTURED STRUCTURK PLACFNENT/CONNECTION <br />HANOFACfUR~;B STRUCTURE STATE FEE' <br />MANLSF'ACTURE9 StRUCI'ORE B~'ATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 9~§442! <br /> <br />'FO'FAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEI'PT <br />DALAitcE D ti?'_': <br /> <br />QLIANT i TY A H(}t,il,ll' <br /> $20,, <br /> <br />$211, <br /> <br />$211 ,, 10 <br /> <br />* THiS IS HOT A PERMIT. TH:Is APPLICATION HOST GO THROUGH A REVIEW PROCESS WHERE THE <br />~OLLOBIN~ MUST BE COMPL[TE~. IT~,IS ~THE RESPONSIBILITY 0F THE APPLICANT TO ASSURE <br />HAT ALL NECESSARY INFORMATION HA~ BEEN PROVI~E~. <br /> <br /> JUF~ I Si) ]: C'l :[OR,,; <br /> <br />~oR~ ~ MC ~ S.~ R~V. 4,~ 0 F FIC E COPY <br /> <br /> <br />