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I "'tom' MARION COUNTY <br /> � � . DEPARTMENT OF PUBLIC WORKS <br /> Marion BUILDING INSPECTION DIVISION <br /> Countty 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#: lbh-di--0000661 DATE OF INSPECTION: gI 1--7 , <br /> SITE ADDRESS: 79— 9..01 f iV f (R ( r - <br /> CITY: 1--- g,i,, i <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing ep Manufactured Other <br /> INSPECTION TYPE(S): Re i—ra}l'er <br /> REQUESTED BY: 61,t f. kV—. <br /> 0 <br /> -=': RA TCRA TC 0 WNER: PHONE NUMBER: <br /> COMMENTS <br /> .---- Rs A70 k_ ,ok <br /> .......--- q <br /> 03 A f Le a Cifi 5rfc---- qali ks 4--cA\—rr ok Gin y om-111 0)/b <br /> S(1) (14k.A4 (- Om- - '((vo (D,g`b-- ill" <br /> ---- c_fUek__ ci,JT 6 A (frak-E - keit <br /> gr <br /> INSPECTION RESULTS: Approved <br /> Approved w/Conditions <br /> Partial Approval ' <br /> Denied <br /> Rcr, 30,1LNo <br /> Inspection Performed <br /> rr � <br /> Inspector Name / <br /> Date <br /> NCJ7RS\CTATE\DOCUMENTS\GROUPWISE - <br /> \B 17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />