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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#: 21 0 ( DATE OF INSPECTION: 715-12).3 <br /> SITE ADDRESS: (2)i'l if c i iv -e^ 12424 iv l' <br /> CITY: Si 1 Lt ✓±!. "-- <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): F`(/r <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTSC-CfrA"- Pi-Or0 S *e.-C- I ) <br /> rOA' 064 Va\k, <br /> (2? <br /> o ( <br /> 11) I 3 < < <br /> INSPECTION RESULTS: Approved <br /> • a: • •-. w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed <br /> Insvzarne <br /> Date <br /> Lutz <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />