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44MMARION 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 /> OREGON Phone: (503)588-5147/Inspection Line: (503)373-442'77 <br /> *PERMIT#: 11pp��— St DATE OF INSPECTION: 2i/t `'- <br /> 11 — <br /> *SITE ADDRESS: I R— S)ret•i4-#(`) V L <br /> *CITY: rTlrl1/4-szte- <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Manufactured Other <br /> INSPECTION TYPE(S): -1bn r� <br /> REQUESTED BY: [ _ <br /> CONTRACTOR/OWNER: PHONE NUMBER: n <br /> COMMENTS P S `'c? t I <br /> 01C- <br /> -- c-j2listir <br /> 'Jo ("i wn.. \-tr \- 11144 <br /> re -C-€ C <br /> 1- Itie I f, ^" ,irk <br /> INSPECTION RESU ,/ C <br /> Approved 0 {'� <br /> Approved w/Corrections <br /> 'ved <br /> 1." <br /> 'artial Approv, <br /> / :ecUon Performed <br /> .� <br /> �L 4 ( <br /> Insp- o': Name Date I — <br /> A service to promote health, safety and welfare of general public. <br /> G\FORMS\BLDG\B-17 One Time final slip dac rev.09/2010 <br />