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MARION COUNTY <br /> 14e <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#: SS-V-\ —G�.30t O DATE OF INSPECTION: (A,/1'2,/? q <br /> SITE ADDRESS: l RS r\ Dots faryvLA, <br /> CITY: *66(,z.("S <br />• <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing eptic Manufactured Other <br /> INSPECTION TYPE(S): iOd11 ` _ j e ) 3 <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> \�v�i aKL COMMENTS <br /> ti, A L.k dIL � <br /> ./ eA _ vV psi ity ch- or) i lie <br /> eve t" mcit coV€v- <br /> vJ O-S on. If3ID.1c <br /> INSPECTION RESULTS: Approved S\.{6 l/? -' -- <br />• Approved w/Conditions ., <br /> (PartiarApprovaj UnCO V <br /> Dem'eT ,n IL <br /> No Inspection Performed <br /> n v� qll Z/d--/ <br /> Inspector_j_j3me Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />