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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#: I � DATE OF INSPECTION: Zd ( 2 2- <br /> SITE ADDRESS: `G1 S C4 L c E— <br /> CITY: j264-r <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing :eptic Manufactured Other <br /> INSPECTION TYPE(S): PKA/1 <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> TS <br /> E( DD✓ +v S ICU OMMENv4" 1-0 17D JC <br /> &)c. <br /> [- ,� S .16Ve I , v\ ins+.-6- s'..J <br /> F )7‹. co K.e.4 t, ;4 <br /> 4- F/L f26.r.- <br /> V),,cQ“ <br /> o cL <br /> AIM -4-1/14t1 °l'ov,`"):‘;)(;1144h4r-t41.-.1.1.-1-cd". <br /> INSPECTION RESULTS: Approved <br /> onditions <br /> artial A rov <br /> Denied <br /> No Inspection Performed Q /22- <br /> 2 <br /> Inspector Name Date <br /> E(1-c r (02(trio <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />