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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 #: DATE OF INSPECTION: ( ((( <br /> SITE ADDRESS: I I I D GI GO 21 LA" <br /> CITY: <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing eptic Manufactured Other <br /> INSPECTION TYPE(S): �'vt6" I <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> lVi--‘&rcie-1-- <br /> ()" <br /> /1.4\A-v. <br /> INSPECTION RESULTS: Approved <br /> pproved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed frJ ( <br /> nsp tor'Name Date <br /> yam. Xwv.v.v.s , )4 22 <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />