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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 /> Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> OREGON �/ (7° <br /> PERMIT#: v�f' l' ( 'CC yv DATE OF INSPECTION: ° ( 23 <br /> SITE ADDRESS: j R40 1 a ° e <br /> CITY: tA-`6‘9 a,..) <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing <br /> eptic Manufactured 'Other <br /> INSPECTION TYPE(S): r�v <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> c4 �11 ✓�� COMMENTS <br /> r <br /> k-4` ,01--3) <br /> iczre l I,(v <br /> 1,,tpro • <br /> pirr t <br /> INSPECTION RESULTS: Approved <br />• <br /> a •• e •-• w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed t O750/ <br /> 2 <br /> Inspector Name 5 Date <br /> dA—N, <br /> C:\ SERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />