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1 <br /> 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#: S5'()) VO J t-:q DATE OF INSPECTION: tof I faQ <br /> SITE ADDRESS: j"(� qq-- ,,.. <br /> CITY: _ J 'V 0'"J <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): �(t 4"L V, <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> �/'Ip,�� 6-r 6imii2 -J <br /> COMMENTS <br /> INSPECTION RESULTS: pprove• <br /> Approved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed ,�J <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />