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MARION COUNTY <br /> 4e <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 /> O R E G O N <br /> Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> PERMIT#: rJ'J 7 at-0°G7Vo DATE OF INSPECTION: Mil "2._Q <br /> SITE ADDRESS: 12 E crook.), (' Fot. Afs <br /> CITY: Sus AA U S <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): (cOlk. I PA <br /> REQUESTED BY: Rc --die-Qf <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> S.nvk w �kb-- CU i.r 4-cutk frvos-• vt„) ("-or- <br /> ()AL D cAsz, LiA (-cc A_ <br /> cull) (yc-art-- <br /> utiv <br /> INSPECTION RESULTS: prove <br /> roved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed /(oi <br /> Insp ctor Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />