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4k.:•,,,,, MARION COUNTY <br /> 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#: 11-0043 D DATE OF INSPECTION: t k I �� <br /> *SITE ADDRESS: bl ( 11 62411\04±4.-e— - S <br /> *CITY: LC -- <br /> **CIRCLE PER ' . • _** <br /> Building Mechanical Electrical Plumbin_ Septic Manufactured Other <br /> INSPECTION TYPE(S): 'TAO V— <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> 19nAtt )n D 0V— 24— � „ Certr U, if OK <br /> Qc '� L ay. w A-4 �� t3 h- <br /> Ott- \-0CoV <br /> INSPECTION RESULTS: <br /> Approved w/Corrections <br /> Disapproved <br /> Partial Approval <br /> No Inspection Performed <br /> Al; mb-11+- <br /> Inspector ame Date <br /> A service to promote health, safety and welfare of general public. <br /> G:\FOR MS\BLDG\B-17 One Time final slip.doc rev.09/2010 <br />