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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 <br /> PERMIT#: 2 1 &9?3c-, DATE OF INSPECTION: -‘31(20 ` 2-v 3 <br /> SITE ADDRESS: ( "6,Ai'''\ - 12-or-if <br /> CITY: Le) Iv\ <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing epti Manufactured Other <br /> INSPECTION TYPE(S): f6%-1/\�L — 41) <br /> REQUESTED BY: kiP(A-0 ca.—S -,c,{.( 4-- <br /> CO.► " 2R/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> kk- 0 IL <br /> fA1416 <br /> 1-(tG,/ ?)-1( ),41Y (/' <br /> -etA*0. <br /> INSPECTION RESULTS: :pprove. <br /> = .proved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed /� <br /> gl / z <br /> In pector Name CY)1 <br /> 1 d�Z Date <br /> CkUStRS\CTATE\DOCUMENTS\GROUPWISE\/B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />