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WILLAMETTE REALTY & DEVELOPMENT Co. <br /> <br />OWNERS NAME <br />PHONE NUMBER <br /> <br />PERMIT COVER SHEET <br /> <br />SITE ADDRESS <br /> <br />CITY.STATE.ZIP.--~,~ <br /> SITE CONTRACTOR <br /> <br />ADDRESS '~,//,~'-'~ ---~/~'~'~-- ¢.__~0¢;/~ .Z~. -..~7~./-~:2/1¢/ ¢~. ~','~'~.~<~-~ <br /> <br /> DELIVERY & SET UP DEALER <br /> <br />HOME INFORMATION <br /> <br /> oN~ ,P,~z-g ooz~ <br /> <br />BLDR.BRD.# 7 L~c~ ~'- <br /> <br />HOME SIZE ,~¢ <br /> <br />sQ. FT. <br /> <br />NO OF BDRMS. ,.~ <br /> <br />GARAGE OR CARPORT./SIZE - <br /> <br />YE. AR / tq/O9 TYPE OF SIDING g~). TYPE OF R. OOF <br />Prr SE'T l~/NO ) ~OR FL U.D. [iqSULATION <br /> <br />'~,o~ ~ 9¢- 7'~ <br /> <br />374 OWENS ST.. S.E., SUITE 2 * ,SALEM. OREGON 97302 · (503) 399-7903 · FAX (503) 399-8704 <br /> <br /> <br />