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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: y/(31/1/j3 DATE OF INSPECTION: qa-q <br /> *PERMIT#: AI -633 ) INSPECTION CODE: <br /> *SITE ADDRESS: 336(43 C,c`l rOCa CITY: lajeP <br /> REQUEST BY: <br /> ONE TIME FINAL OR OTHER: <br /> **CIRCLE TYPE** <br /> Building Mechanical Electrical Plumbing:.- "Septic Manufactured Other <br /> CONTRACTOR: <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> nua fl ' <br /> ct,c--k [q Thl alei7L1 <br /> ccbai(ji(POC(4-5 9 -047(-L6-7( <br /> INSPECTION RESULTS: <br /> Approve <br /> Approved w/Corrections <br /> Disapproved <br /> Partial Approval <br /> V.Vail Ins ection P rfo, ediic971) <br /> Inspector Name Date <br /> A service to promote health, safety and welfare of general public. <br /> E:\FORMS\BLDG\B-17 One Time final slip.doc <br /> Revised 06-09 <br />