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t MARIOlV`COUNTX <br /> DJPARTMENT OF PUBLIC WORKS <br /> Marion I3UILDI:NG INSPECTION DIVISION <br /> County 5155 Silverton A 1 ,,Salem OR 97305 /PO Box14500, Salem OR 97309 <br /> OREGON . fione: (503) 5$$-5147/Inspection Line: (503) 373-4427 <br /> PERMIT#: —�L3 .00 3 1DATE OF INSPECTION: 0 )/1 � Aen <br /> SITE ADDRESS: aC6 -bac%/ L11 JV <br /> CITY: 'cam <br /> **CIRCLE PERMIT TYP ** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): h al o,,n <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> Sef, ed �Ivt 10 MMENTSNea alarms nca <br /> IC mob, ; hb , <br /> k re °11- <br /> VI0..t rtrd-C,\ t 3vicok 0 <br /> .?vr'\p ©y <br /> A11 0►C i .P� \pvr; <br /> 600-) <br /> INSPECTION RESULTS: Approved <br /> A roved w/Conditions <br /> artia royal'-- <br /> Denied_ <br /> No Inspection Performed <br /> (:)3 e'Li V GA <br /> spector Na e Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17___— <br />