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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:S0 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />Other <br /> <br />1'his document. <br /> <br /> ~T~E 07/~2/74 TIME: 14:581:35 <br /> <br /> WHITE~ STEVE <br /> <br /> RESlgENTIAL <br /> <br />r ~ ~ZLL CREEK ESTATE9 <br />] BEN~, OR ~7782 I SITE NBNBEE: ~4-82831 <br /> PHOHE: ~;~'-8888 <br /> <br /> 56688 <br />ARCHITECT/ENGINEER, <br /> <br />PERNIT ORAPPLiCATION NO: <br />~8940 <br /> <br />SE I <br /> <br />QUANTITY <br /> <br />TYPE: BUTLIIINi; <br /> <br />Cr-]l'IT~ ,ACTO~, ~10. <br /> L;Sp z'co J, <br />518 Valleywood Dr <br />Salem, 97,306 <br />PHONE: ;~63-1711 <br /> <br /> ITEM <br />BUILI)ING FEE <br />PLAN REVIEW <br />BUILDIHG STATE SURCHAR'.GE <br /> <br />AMOUNT <br /> $~8.50 <br /> $2~,,0~ <br /> $1,93 <br /> <br /> ~ $65.46 <br /> $65.46 <br /> ~ ~i $0.00 <br /> <br />PAYEE: ~' <br /> 0 <br />RECEIVED BY: DM !:! TYPE: CHECK ~: 0 <br /> <br /> ISSUE ~ATE, iF <br />FALLS TO NEET ALL <br />ORDINANCES, THIS PERMIT <br /> <br /> · THZS ~ A <br />CONSTRUCTION CEASES FOR <br /> EGUiRENENTS OF STATE <br /> ~LL ~ECONE NULL <br /> <br /> SETBACKS: FR 10 <br /> 308 LS .... <br />EI,IERI;.Y PATH: I RS-'~ ....... <br /> RR'"'10 <br /> <br />DONALD E. WOODLEY, MARS ...... l' <br /> ~N: ~OUNT¥' B <br /> <br /> OFFICE COPY <br />FORM # MC ~ 5.F~ REV. <br /> <br /> <br />