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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#: <br /> (� DATE OF INSPECTION: ( . 019-4 <br /> SITE ADDRESS: CQ1 C <br /> CITY: I <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing .eptic Manufactured Other <br /> INSPECTION TYPE(S): (`< 41N-sr r , 1 1\-1 <br /> REQUESTED BY: ( O & Q \L (2(J1- )(,(1-hcc <br /> RACTO / ER: PHONE NUMBER: <br /> n COMMENTS <br /> Otral�Vi`QCc9- 4 )0s <br /> k° n((-- k-- (-72 rsS \C414- <br /> • <br /> INSPECTION RESULTS: pproved <br /> A. . 'ed w/Conditions <br /> Partial Approval <br /> Denied <br /> r � GLs <br /> No Inspection Performed <br /> Co P'k1)-g <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />