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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#: 'j 5' —1--3-00 - DATE OF INSPECTION: S IS--2_,LA <br /> SITE ADDRESS: ig y AC100r rove KA- k)h <br /> CITY: \.,-JOIDS\0 V <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> r COMMENTS <br /> /1 °vim Pb..;n ( InS.� r ICS recove6i <br /> \,..� kt (>1L ` .\,.'0d rrr711,) wEeA,„‘ <br /> 5/I /Zy s <br /> GT- t re" CML Nis l F;ncL <br /> rl cfk( 1 hsfer 0 <br /> ply?, p OIL ..s,sr:ope ( - La& 9 Ee. <br /> ,z)CAk1 c„ r itrIs <br /> Y`GAC.,I11 `)C at tr'rt•N <br /> - De& e_g ueAt 0, <br /> hvie2 I ry ,-PAP <br /> \e,vej ( cic 1,0 Sat( <br /> INSPECTION RESULTS: Approved <br /> Approved w/Conditions <br /> Partial Approval, <br /> n No Inspection Performed <br /> el le_ („.in <br /> ector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />