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MARION COUNTY <br /> — -w 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 �,rt <br /> PERMIT#: S55_ W"DOS-T - DATE OF INSPECTION: OW I'L(VA <br /> SITE ADDRESS: ICA gC10 l rry LPNSli <br /> J <br /> CITY: S 1 V•erte)n <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing eptic Manufactured Other <br /> INSPECTION TYPE(S): --Procol3,e13 / PAL' -C'SwLr, <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> 1DD c 5 \ee - leave_ AActax ()s� <br /> � LP <br /> %of t\It „Awe_c-�ia, <br /> Le_c„,(\„er3 care LI st , 0,:edr , a►\A \eA)eA _ <br /> 1`�\ Ek a - i0 an ' AS pectic <br /> lortc_ at <br /> Cam+ -t(are r \-(ree oit <br /> 0, IL bc, <br /> cr- <br /> INSPECTION i�L =S Approved <br /> ve w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed <br /> can '----3ft)\-)►� ` C t-Z / <br /> Inspector , e Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />