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MARION COUNTY <br /> DEPARTMENT OF PUBLIC WORKS - <br /> MarionCountBUILDING INSPECTION DIVISION <br /> y 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 1/� —u"0 UQ(�k 0 DATE OF INSPECTION: it/ 3 <br /> 3 <br /> *SITE ADDRESS: S /s (-Li <br /> ,rL' <br /> *CITY: <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical ,:,Plluumbin Tptic Manufactured Other <br /> nle <br /> INSPECTION TYPE(S): \ �' Cott- / k-- <br /> REQUESTED <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> _1 &*4t I z R I — d IL -{-o <br /> I , CCx-C <br /> INSPECTION RESULTS: <br /> Approve. <br /> Approved w/Corrections <br /> Disapproved <br /> Partial Approval <br /> / No Inspection Performed <br /> 11.+ ''3 in — <br /> Insp- 'amen 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 />