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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> COD~-A-PIR~NE 4:30 PM, - 8:00 A.M. <br /> <br />of ~ registered builder. ~/ ~ <br />The work will ~e performed by a ¢eOiSter,d builder· ~;~. ~ <br /> <br />OwNE~ATE: 04/28/90 TIME: 15:3'7:25 <br /> CHRISTENSEN, HAROLD <br /> <br />75301-020 <br /> <br />RESI DENT I At <br /> <br /> 8325 REDNOOD DR SE CONTRACTCIW: UGB: <br />SALEM OR 97301 <br />uSE Of BU;LOtNg: ~lAR I ON COUNTY NO <br /> <br />805 YALTY DR NE <br /> <br /> VALUATION: <br /> <br /> 14 8S 2N AR3 <br /> 5.17999983 AC NO YF_~ <br /> <br />MAP <br /> <br /> 49 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE <br />CHRISTENSEN, HAROLD <br />805 ROYALTY DR NE <br />SALFJ~j, OR 97301 <br />PHONE: 399-962? <br /> <br /> ITEM <br />TENP CONSTR SERVICE <br />FLEET SURCHARGE -ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: ,~3567 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY' AMOUNT <br /> 1 $30.00 <br /> ~2.56 <br /> 1.50 <br /> <br /> TOTAL ASSESSED :,:FEES $34,05 <br /> PREW'IOUS RECE~,PTS, $0. O0 <br /> tH~S REOE/.PT $34.06 <br /> <br /> BALANCE' DUE $0.00 <br /> PAYEE: CHRI?ENSEN. HAROLD '"~m~,, ~- RECEIPT NO.' 2496(; <br /> RECE~,VED BY. P8 ~..' ]?¢PE:, OK CHECK ~: 4093 <br /> <br />~l~I~ ~ST 8E ~PL~ <br />~ N~RY APPLI~T TO ~RE ~AT <br /> <br /> CI~~,jURISDICTI~: 8Y DATE <br /> RE~RKS: TEHP <br /> <br />¢oR~ ,¢ uc ~.,~ n~v w~e OFF[CE COPY <br /> <br /> <br />