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MARION COUNTY
<br /> DBE,.1131 UBLIC WORKS
<br /> BUILDING MEINSPECTIONOFPDIVISION
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<br /> 555 Court St NE, Suite#2150 /PO Box 14500/Salem OR 97309-5036
<br /> P1 z r i on Office Hours:7:30-4:30 p.m./Phone: (503)588-5147/Inspection Line: (503)373-4427
<br /> County -`'1
<br /> �- _ r—71 DATE OF INSPECTION: - .9 �. r
<br /> URRENT DATE.
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<br /> INSPECTION CODE:
<br /> ERMIT#: •
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<br /> EQ UESTED-BY: '
<br /> NE TIME FIN AL ) OR OTHER
<br /> **CIRCLE PERMIT TYPE:* *
<br /> Septic Manufactured Other Se
<br /> Building Mechanical Electrical Plumbing P
<br /> CONTRACTOR: " • ''" --- C... _r� f,
<br /> OWNER• PHONE 1
<br /> `I � , ' -,-t--} ^1 /i T CITY: `�' ZIP: 1
<br /> ADDRESS: a
<br /> �04
<br /> COMMENTS .
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<br /> INSPECTION RESULTS:
<br /> h 1 Approved
<br /> 'k� " x^a Approved W/Corrections
<br /> ' � ��'" Disapproved
<br /> � k -- " . ` � ' Partial Approval
<br /> $t•4 ] 4` ,.s;- .^Yl-* �f
<br /> , -i i 4 No Inspection Performed
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<br /> Date
<br /> Inspector Name V
<br /> A service to promote health,safety and welfare of the general public.
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<br /> G\FORNiS\BLDG\b17 One Time final slip.doc.rtf y
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