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MARION COUNTY ("e- <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 /> Phone: (503) 588-5147/ Inspection Line: (503) 373-4427 <br /> OREGON <br /> PERMIT #: 6.65- -al/ "'07 ATE OF INSPECTION: ja./4 <br /> ✓ �-� <br /> SITE ADDRESS: AZ A0/ 4 , F"-I ai <br /> CITY: <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing septic Manufactured Other <br /> INSPECTION TYPE(S): ` /`j$ rt epthi ,`Tear <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> DrCCIAtRactS _Di () f p <br /> efoipo1/4-bkd 6&A - boo <br /> utd \ou\ cpuRA1 - 14)-14A el <br /> OM Act f <br /> (J L <br /> c ,*t '--O /iv' <br /> ca.e <br /> INSPECTION RESULTS: Approve I EXPIRE. <br /> Approved w/Conditions <br /> Partial Approval <br /> Denied - <br /> No Inspection Performed <br /> Inspector Name \ Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />