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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#: 55S -a3-00 $LA DATE OF INSPECTION: G_X -a t,I <br /> SITE ADDRESS: \\C) p-Cice6 Lys <br /> CITY: elfiD;.� <br /> **CIRCLE PERMIT TYP ** <br /> Building Mechanical Electrical Plumbing epti Manufactured Other <br /> INSPECTION TYPE(S): (P/1/4/1 `.... <br /> `.Alt, <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> tTLM4SY&1d . GIL <br /> lucidk — JpIcwii4- `� is� <br /> � <br /> INSPECTION RESULTS: Approved <br /> A r onditions <br /> artial Approv 1 <br /> Denie <br /> No Inspection Performed <br /> iamit tg-wio q9-101-( <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />