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MARION COUNTY <br /> 4b• <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 /> Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> OREGON <br /> PERMIT#: `j "1:2O -'do55 DATE OF INSPECTION: D e <br /> J <br /> SITE ADDRESS: 930YSI)10 ill/R/SE <br /> 4iicALQ <br /> CITY: <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbin(_ - Manufactured Other <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> Ii-toSukraei t"Uatie <br /> '13)/1/1 e, 414u how; <br /> U C�: 9 rL FF--� tPJ)tC <br /> P 1 <br /> Comine,(1,i/apu frvA5-2)--e-,1 p <br /> Lathe <br /> pTizAloAn D d,- -Ldititzh ./ba, (- &QA,C. <br /> WM, yifff <br /> INSPECTION RESULTS: Approved ' <br /> Approved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />