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MARION 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 /> Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> OREGON <br /> 2 ( — 0 (0 IGr2 g /L1(Z2 <br /> PERMIT#: DATE OF INSPECTION: <br /> SITE ADDRESS: 3 y / `4'GL 3 <br /> CITY: <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing " eptic Manufactured Other <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> ( a rto (004-\-1 ce,,(---Jot„ (c <br /> ,.d d U -fro ° ( ram <br /> _sa, 0 4-0 <br /> INSPECTION RESULTS: .arm,- <br /> Approved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed <br /> 4 c <br /> ( l/ <br /> Ins ecto Name Date <br /> fi <br /> c:\uS ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />