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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#: S`$S= /9-x'13 77 DATE OF INSPECTION: JUAJL 3I <br /> *SITE ADDRESS: 7 q 2. 7 3% 3-FF/JEY <br /> *CITY: G5 LV Mk <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Manufactured Other <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> 14,16 Tom. ' 1 f iT i-Lc/w <br /> COMMENTS � �` <br /> 1 S-I SOS `dam <br /> FFLuCA) DSP ; <br /> c?--( <br /> INSPECTION RESULTS: <br /> A 9 9 roved <br /> Approved w/Corrections <br /> Disapproved <br /> Partial Approval <br /> No Inspection Performed <br /> .� k, /11,Lp R45- -- 3 z©/9 <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 />