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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 /> OREGON Phone: (503) 588-5147/ Inspection Line: (503) 373-4427 <br /> PERMIT#: -�' J Z� UR 3 DATE OF INSPECTION: o ek/ k z� <br /> SITE ADDRESS: lb LA S� NI cce Ot LL R.C� <br /> CITY: sj Cd)1 <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): I a`P\ (L <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> CNIIL w0. -6;3/4 'LEs Wd. <br /> 1 Pn`L \ \JeA <br /> Cyre,e,h yO6k <br /> a- 6e1 <br /> Be_oocciLs Ac..;red / eVPid <br /> INSPECTION RESULTS: •pprov- <br /> .roved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed // <br /> 0`►1;�l,P� 7Dr0 r\ Q q 111 l Z 5 Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />