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.~ ' ` ,: <br />City of Salem <br />Public Wo~lcs Department <br />Development Services <br />555 Liberty Street SE, Room 325. <br />Salem, Oregon 97301-3503 <br />Telephone: (503) 588-6211 <br />TTY: (503) 588-6292 <br />~ ~ ~~~~ <br />~ ~C' of Salem <br />~ <br />• ~ 588-6256 <br />~(permit appiication cente~ <br />i~ <br />FIRE SERVICE PLAN REVIEW SERVICES <br />PID No. 65832.024 <br />Servke Fee $275.00 <br />Automation Fee 2.50 <br />Proc:essing Fee 7.50 <br />Totai Payment $285.00 <br />Project No. ~~ 6 l~ 2 G <br />FIRE SERVICE: PLAN REVIEW SERVICES <br />Reference: SRC Chapter 77-Streets and Public Ways <br />APPlicant: it ~ I, ~ c k/~ ~~ `~'1', ~ ~ r t. l, .-~ c' ~~ S,~~ L Telephone: 5~ l- `//l~/ <br />Address: ?~i ~ !T -~a ~ ~ i1 ~, ~v ~{=.~~ ,, /~1Z Ct "7 3 G'l <br />~ P~ . , .( I ~,~ A 7 P~- ~ f ~ , <br />lL~ Pro e Owner. 1~/!~ r,n.~ ~r.~,.i ~/ ~, -~ ~r~i ~"-~- SS'fele hone: }~~-`'y ,: 5~ ~ Z~~~ <br />Address: <br />i ~e~ •~• , O ~ C/ ~7 ~~r <br />Engineer. Ll~ P5-~ ~~ ~, G,,,; i <br />~r.,, ri~ <br />~~;~: j <br />Telephone: 5 ~ % "' ~ ~/ % ~/ <br />Address: ?k ~/ / ~ a; v v. P~..- ~.~, ~ ~;- S ~ ~~, .i P!ov s~ '~:.r-. ~• i~ g 7 3a Z <br />P~oject Name: L <br />Cc 1- P "' ~~ I' <br />Project Location: ~ S `~? ~ Ou y -~ ~ 4 ~ /J ~ <br />Reference: SRC Chapter 77--SVeets ar-d Public Ways, City Standard Construdion Speafications, City Design Standards. <br />ApplicanYs Signature ~ Date: <br />PLAN REVIEW SERVICE: <br />Plans Approved by. Date: <br />~/1Zv~ ~1,2c7 ~ <br />Tap Senrice: C~ Yes 0 No Chlorina6o~ Service: [~Yes ^ No <br />r: <br />Engineer"s Estimated Construction Cost $ ~ C~ ~ I<r t~ - Remarics: <br />~BUCKI.E COSTr~ _ ~ <br />_IA~1 1 51999 <br />--~~r_.EIVEC~ ~ _ <br />._ <br />Chedr s.~~~Chedc No. 7~: 2 Cash S. Bllled S PO # ReCd ~Z /~ y/~~ gY .'T' 1C - <br />White - DeNmt Servs, Green = Fina'nce, Yellow - Appiicant, Pink - PAC, Goldenrod - Engc Spt Servs <br />PW:PAC06-1.FOR 04/07/97 <br />