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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 #: - O0 �g-gcDATE OF INSPECTION: 1/ V (!� 3 <br /> SITE ADDRESS: L ? Tom' 1 t/ cJ <br /> CITY: ?girDc. �- EXPIRED <br /> **CIRCLE PERMIT TYPE** WAS (1,4 • [ <br /> Building Mechanical Electrical Plumbing Septic Marl tured Ot er <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> CceH2 -s 0 (6-- <br /> li►t-5 <br /> _5 giejel.,45t,t -1-7f64A-_ <br /> INSPECTION RESULTS: • pproved <br /> • pproved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed I (� / • <br /> InspectoFName Date <br /> J(iw\ J <br /> CAL) E S\CTATE\DOCUMENT GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />