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BUILDING INSPECTION <br />Senator Building * 220 High Street NE · Second Floor * Salem. Oregon 97301-3670 <br />Office Hours: 8:(g) - a:30 Phone: 588-5147 24 Hour Code-A-Phone: 588-7904 <br />INSPECTIONS MUST BE RI?QUESTED BEFORE 7:0(I A.M. <br /> <br />INSPECTION REQUEST <br /> <br /> PerMit type: Subsurface <br />Inspection 'type: Site evaluation <br /> TiMe rec: 11:26:53 <br /> , <br /> Si#e nuMber:~-~-3~ PerMit ~: ~0§00~6 <br /> T~pe conmt: Category: RESIDENTIAL <br /> uccupa~cy: Deecrip~ion: --- <br /> Act[wty: NEW Issu· Date: <br /> Owner: DAVIDSON Phone: <br /> Job address: <br /> <br />Received by: RF Route: BF <br /> Date rec: 10/08/9~ Inspect on: 10/08/~3 <br /> <br /> Energy Path: <br /> Se'tb~cks F'R: <br /> <br /> RS: <br /> <br /> ~ JONN 253-2847 <br />10921 HARTIN LN NE Cross Street: BUTTEVILLE <br />AURORA OR 97002 <br /> <br />l[nstaller: <br />Scope of PerMit NuMber <br />SITE £¥ALUATION~ EA: ADDL. LOT 1 <br />PerMit requireMen'~s~ SE - TN: <br /> <br />Phone: <br /> <br />Last requ. eeted <br /> <br /> ~1/ /~- ~ INSPECTION REPORT <br />Inspected By: ........ <br /> <br />Date: <br /> <br /> <br />