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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#: I (,'b(.'Z-D DATE OF INSPECTION: 3 Iidi i 9. <br /> SITE ADDRESS: JS - ''3di' v)- i //v._ <br /> CITY: kik)a uc)`'J.`f te� <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 /> COMMENTS <br /> (A( Arr1/4,\ 91,Y 14(1-111("Cr5 61<- <br /> C K- 1-5) <br /> INSPECTIO. 4111111111. <br /> Approved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed c, <br /> k +milliV <br /> Inspe •0 'I ame Date <br /> C:\ ER \ MENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10 1 <br /> S TATE\D C C O U 0 / 7 <br />