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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#: C-C5- Zv UV v <br /> S DATE OF INSPECTION: ( 2 /2I <br /> SITE ADDRESS: I ( °"I 2- 2oj <br /> CITY: L-y o f1,S <br /> **CIRCLE PERMIT TYP- ** <br /> Building Mechanical Electrical PlumbingO.- Manufactured Other <br /> INSPECTION TYPE(S): �w� (`• ^� f <br /> REQUESTED BY: <br /> CONTRACTOR// PHONE NUMBER: <br /> COMMENTS <br /> MA4_ <br /> R.: s„_. <br /> r`e-- Q?( (C <br /> AS - (' 1 <br /> INSPECTION RESULTS: ACAp�- <br /> pproved w/Condition <br /> Partial Approva <br /> Denied <br /> No Inspection Performed I 2n- ( <br /> ( <br /> Inspector Name Date <br /> s C H• -ST (O2-((r6 <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />