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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#: 55 5-I - 00 Li 73,5 DATE OF INSPECTION: OSS /2-2_10 <br /> *SITE ADDRESS: j 2- 1'-f (,,)QST sm-yro N cSE <br /> *CITY: A-V MS V I <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> • <br /> INSPECTION TYPE(S): CAN P L r.I Q -n <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> ICO" CA-? OXJ be-F1-1M-F101-1) - a <br /> �I Solt_ tiles -P s Iry 132.- T19-,P€ E- ° -' 1(7 FT OA) EftGt-1 S I IJ a <br /> D� GA-p <br /> a <br /> 1‘)&FADs 717 1 £. 5&M)E . <br /> (AI. , WH€I J 12�w-1) / 02 N —r' iIvsP ` 1 oN <br /> D )9-5 - L T <br /> INSPECTION RESULTS: <br /> Approved <br /> q1-1-miroved w/Corrn <br /> >sapproved <br /> Partial Approval <br /> No Inspection Performed <br /> . O t k. hrl f EHST J2_ 20131 <br /> Inspector Name Date <br /> A service to promote health, safety and welfare of general public. <br /> G:\FORMS\BLDG\B-17 One Time final slip.doc rev.09/2010 <br />