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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#: SSS- ,r�t D pthi'i33"- DATE OF INSPECTION: b''— 3 - z-0/2 <br /> *SITE ADDRESS: i 2- 3 y to 7- S j Ari l D/V /moo A 6 5 i' <br /> *CITY: ,4tt i.-9S V1 t--L-6 <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing eptic Manufactured Other <br /> INSPECTION TYPE(S): A)/z— <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> OM <br /> .r 1580 <br /> 0 5®0 6 2. <br /> Coy-+��e_ C1- MLENTS- i rt <br /> S <br /> &r f c - -7Ys vL Nopi-T N _0(4. <br /> q\f -VAULT <br /> � TL%3 T -- 1V A�-.74, L--t? 'E=z.� A?L D S .P) C' = z" / r - IQ/ - <br /> f 1 r`L.1 /L-f/ 4(( A a4-ii= C -s_ pO L-- i &/mss?L- <br /> 5u5A4 i r 7�i�✓iP S 0665 pl\ 6) � Lci✓S 7— �`L, LQ 5,643-SSGT <br /> EL� 'TG but 1d.97��J� Qr M t�EZ.i 56- 1C <br /> INSPECTION RESULTS: <br /> Approved <br /> Approved w/Corrections <br /> Disapproved <br /> ��Parfial pproval J <br /> No Inspection Performed <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 />