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MARION COUNTY <br /> DEPARTMENT OF PUBLIC WORKS <br /> BUILDING INSPECTION DIVISION <br /> Marion 555 Court St NE, Suite#2150 /PO Box 14500 / Salem OR 97309-5036 <br /> County Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> CURRENT DATE: 5/C6/g3 DATE OF INSPECTION: 5A. Ia <br /> -"1 <br /> *PERMIT#: j Lam. A INSPECTION CODE: <br /> *SITE ADDRESS: aE 41-MAIM,S 'CITY: Cam. - <br /> REQUEST BY: <br /> ONE TIME FINAL OR OTHER: <br /> **CIRCLE TYPE** <br /> Building Mechanical Electrical Plumbing epti Manufactured Other <br /> CONTRACTOR: L1JY71 9 64-13 <br /> REQUESTED BY: 1/U)1/1,C61 <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> fteeki <br /> COMMENTS <br /> CLI-11 1)(4 (4 <br /> \(#(:11135 <br /> INSPECTION RESULTS: <br /> Approved <br /> �Appr-Q ed w/Corrections <br /> Disapproved <br /> Partial Approval <br /> 42/11/A <br /> n ^ R 4No,In�pe ti onrerr rmedVI /0° <br /> Inspector Name Date <br /> A service to promote health, safety and welfare of general public. <br /> E:\FORMS\[3LDG\[3-17 One Time final slip.doc <br /> Revised 06-09 <br />