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,Mara MARION COUNTY <br /> s DEPARTMENT OF PUBLIC WORKS <br /> Marron BUILDING INSPECTION DIVISION <br /> County 5155 Silverton Rd NE,Salem OR 97305/PO Box 14500,Salem OR 97309 <br /> OREGON Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> *PERMIT# `/'`7(e (C DATE OF INSPECTION: )40/21- l <br /> *SITE ADDRESS: Z1°1 S Ck^1--e.U7n. A4-t- Ncj <br /> *CITY: '�� <br /> **CIRCLE PERMIT TY' <br /> Building Mechanical Electrical Plumbing Septi Manufactured Other <br /> INSPECTION TYPE(S): UAL, <br /> , <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> TANK oe- - Wv -19k 4— <br /> g ci-- &6 4rA-ce _ aK <br /> c <br /> 4-kik Axtdok,tt-A -- rwt <br /> INSPECTION RESULTS: f�" / ce <br /> 'pproved <br /> Apr .. . . . •• - .rrections <br /> Disapproved <br /> rer <br /> Partial <br /> Approval <br /> No Inspection Performed <br /> • _ (TM! R- <br /> iosfirh `amerce • r 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 />