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' e6cE}�rgreen y�k• LOCAL CONTACT: Tom Touma <br /> ��ry°F ''` C� NSTRUCTION ' � Z51-9°°° <br /> everett PERMIT PERMITNO_• ZOZ� 9 <br /> 259 -8745 <br /> O DEMOLITION ❑ COMB'NATION #7 BUILDING ❑ MECHANICAL '❑ PLUMBING O SIGN <br /> ���R MAILAO�R65 GTY zlP PMONE <br /> Holiday Retirement Coi�. 2741 12th St SE Salem, OR 97301 (503) 370-7070 <br /> ARCN�TECT OR pE51GNER MAIL AOORE55 GITY 21P PNONE <br /> Clifferd Curry Arch 471 High St SE Salem, OR 97301 (503) 399-1090 <br /> GENERRLCOMPnLTON MRILADURESS CITY ZIP PNONE IICENSE• <br /> Colson & Colson Const. 2741 12th St SE Salem, OR 97301 (503) 370-7070 COLSOCC164LB <br /> MEp1ANtGPL C01iTRRCTOR MAIL ADDNE55 QTY 21P PNONE LiCENSE� <br /> Endex Engineering 613 SE Western ¢�n[= Corvallis, OR 9733 (503) 754-9517 <br /> PLUMBINGGONtRRGTJR MAILAOONESS CITY Z�P PMONE LiCENSE� <br /> CLASS OF WORN <br /> � NEW ❑ AOOITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING N[LOCATION <br /> VAIVAT10N OF WOPN <br /> 5 5,059,319.00 <br /> DESCRIBE WONN <br /> Construct new �cixri building <br /> HEATSOURCE <br /> ❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OiHER <br /> a�ovoseo use or ewioiNc <br /> Retirement home I HEREBY CERTiFY THAT I HAVE REAU AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TU BE TRUE AND <br /> LEGPLOESLRIPTIONOFPROPEHTY�SMOW9ELOWORATTACHFOURCOPIES) CORflECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT�BLOLN .�OL GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTI�.; OF A <br /> See attached PERMIT DOES NOT PRESUME TO CIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAI LAW qEGULAT�NG CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTFUCTION. <br /> JOUADDPE55 S�C yUPE q`f+pNTRA R,/�p,T RiZCD r1GENt OR OWNER URTE <br /> 3915 Col.by Ave X � v�tr,y,� � _�6_ <br /> C" <br /> PIUMBING MECMANI L <br /> NO. TYPE OF FIY.TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AiC—A/HNDLG UNITS—H P. <br /> BATHTUB REFRIGERATION UNITS—N P.EA. <br /> LAVATORV�WASHBASIN) BOIIERS—BS.U.iHP. ��S6/BB IP=SZP �Mi9BS *K�� <br /> SHOWER GAS FlREO A�C.UNITS—8 TL. <br /> KITCHEN SINK 8 DISP. FORCEO AIR SVSTEMS—0.�'j(��.. <br /> DISHWASHER _ WALLHEATEflS—B.T.U. M�IIGS9. <br /> LAUNDRY TRAV UNIT HEATERS—0.T V. FLN �1�. <br /> CLOTMES WASNER EVAPORATIVE COOlERS �� <br /> URINAL CLO7HESORYERS E SRCFI fSS. <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN RFNGE HOOD <br /> BACKPLOW PREVENTERS WATEfi NEA?ER • — :�GOIL. <br /> ROOF ORAINS—RAINLEADE(iS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC) METAL FIREPLACE 8 CHIMN <br /> FIREPLACEINSEPT <br /> I1EA1'PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUB <br /> PEPMIT f PEq <br /> TOTRLFEE f TOT <br /> iHONT SEiBnCK pEnR sEtencK SiOE SEiBncK PLAN CHECK NUM�ER F IPT NO. <br /> lo' 20' 15' 88 20219 �I� S43 •� 10570 <br /> / DPS.FtYl.'f8 .30 �xY4Q <br /> USE ZONE LOT AREN yp�pNT SITE <br /> R-4 ❑res D�o FEES L ION FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NO.OFDWELLINOUNITS �UILDInG 5 � S�I.,659 50 <br /> V-I HR R-1, A-3 102 - <br /> PLUMBING <br /> SIZE OF O�OG. NO OF STOFIES MA% OCC.LOR� <br /> 85,606 3 + basement NA MECHANICAL <br /> iMxrzsmt�TxEt62Dtx66cPlan he�ec.3ou�c� 1,706 90 <br /> FIRESPFINKLERSHEOUIREO VES NO <br /> STATE BUILDING SURCNARGE 3 50 <br /> STATEENERGVSURCHARGE 15 00 <br /> AFCUCATION ACC BY RRNS CHECNE�OV APPiI.FOR ISSUANCE OV <br /> M.M. �7pj � ORIVEWAVPEPMIT <br /> TOTAL 13,389 90 <br /> PEflMIi VALIDATION <br /> WHEN PPOPERLY VALIOATED(IN THIS SPACE�THIS IS VOUR PERMIT <br /> SEPARATE PERMITS REQUIRED FOR PLUMBING, � <br /> MECHANICAL PS:D ELECTRICAL � <br /> N <br /> O <br /> N <br />' i;itpRESS RLE - <br />_ ��r <br />