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MARION COUNTY <br /> DEPARTMENT OF PUBLIC WORKS <br /> Marion BUILDING INSPECTION DIVISION <br /> County 5155 Silverton Rd NE, Salem OR 97305/PO Box 14500, Salem OR 97309 <br /> OREGON Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> PERMIT#: �� )-3'ddtit(Q)—DATE OF INSPECTION: *jl9- '21 <br /> SITE ADDRESS: 1/1 ¶i,( i,o,A L1 (1a <br /> CITY: <br /> **CIRCLE PERMIT TY ** <br /> Building Mechanical Electrical Plumbing Sept c Manufactured Other <br /> INSPECTION TYPE(S): cei) 5-11 <br /> REQUEST I BY: Q. & <br /> CONTRACTS OWNER: PHONE NUMBER: <br /> COMMENTS <br /> WW1 S ogy141 mtiv,e1 <br /> N <br /> Eik,criLCI I TrIck <br /> • <br /> INSPECTION RESULTS: Approved <br /> Approved w/Conditions <br /> Partial Approval <br /> Denied6 <br /> // __ ''o nspection Performed <br /> V- 5:4 of <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />