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MARION COUNTY BUILDING INSPECTION <br />SENATOR B)-DG, N®. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />o,[A~E: 03/19/90 <br /> <br /> CHRISTENSEN, HAROLD <br />SITUS ADORESS: <br /> <br /> SALEM OR <br /> <br />TINE: 10:56:00 <br /> <br />97301 <br /> <br />SE <br /> <br /> TAX LOT: CATEGORY: <br /> <br /> 75301-020 RESI DENT IAL. <br /> CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />CONTRACT C~TY: UGB: OCCUPANT LOAS: <br />f~RION COUNTY NO NO OF DEDRO©MS: <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br /> 805 ROYALTY DR NE <br /> SALEM. OR 97301 <br /> PHONE: 399-9627 <br />LOT: ~L.OSK: <br /> <br />WIDTH: OEPYH: <br /> <br /> SITE NUMBER: 9520 <br />SECTION: TOWNBHIP: RAN~LUATION: ZONE; MAP: <br /> <br />AREA: 14 UNITS: 9S IRREG. LOT: 2N COnNBB: AR3 49 <br /> <br /> 5.17999983 AC NO YES <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />CHRISTENSEN, HAROLD <br />805 ROYALTY DR NE <br />SALB'4, OR 97301 <br />PHONE: 399-962? <br /> <br />PERMIT OR APPLICATION NO: 9022549 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />ITEM <br /> <br />PAYEE: CHRISTENSEN. HAROLD <br /> <br />TOTAL ASSESSED: FEES <br />PREVIOUS'RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $5.25 <br /> <br />$112.81 <br /> <br /> RECEIPT NO: <br /> RECEIVED BY: PR TYPE:,,CK CHECK ~: <br /> <br />FOLLOW[N~ D1UST BE CO;~PLETED. ~F '~E APPL[~T TO ~ ~AT ~ <br />~L N~ IN~TI~ , P~IDED- ; ' <br /> <br /> P~ R~I~ 8Y ~T'~ ' '~' '" ' C~'JUEISDICTI~: BY DATE <br /> <br /> ~n~: R~ ~ZR~NS >2000 ~ ~ ~% <br /> <br />FORM ~' MC 15-56 REV 11/88 OFFICE COPY <br /> <br /> <br />