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MARION COUNTY <br /> --rat 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 /DATE OF INSPECTION: it 3 h <br /> *SITE ADDRESS: I 4' frC/AAA ‘eat 1 �i C2--_ <br /> *CITY: ' 94„, <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electricalt Plumbi Septic anufactured Other <br /> INSPECTION TYPE(S): Y cl <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> 1Sbd Cr L-e, 41%/the - WA's - he— <br /> Z'' ��� � ��✓�J 4 �c A comer oI <br /> CC <br /> C170)( o4 - I°-l9 Lr Ez FIc % J vk <br /> INSPECTION RE /, ' ,, ,, _�'1 PS p�, 14— <br /> Approved '(v ILIL-�/ <br /> _ . orrections <br /> / Disapproved <br /> Partial Approval <br /> No Inspection Performed <br /> �l S� A i2 f <br /> Inspe' or Name Date <br /> A service to promote health, safety and welfare of general public. <br /> G:\FORMS\BLOG\B-17 One Time final slip.doc rev.09/2010 <br />