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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 /> Phone: (503) 588-5147/Inspection Line: (503)373-4427 <br /> OREGON <br /> PERMIT #: ,Ali -at- (1)01 kt DATE OF INSPECTION: ON21 <br /> SITE ADDRESS: &7 L1 1€5 s'- C ,.. NE- <br /> CITY: SI(Tidy.. <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing tic Manufactured Other <br /> � <br /> INSPECTION TYPE(S): (C1 . NA <br /> REQUEST • 1.„•..,,c 1G,, ()1 Oar <br /> NTRACTOR/O ER: PHONE NUMBER: <br /> COMMENTS <br /> L ke.W C rank tpk, <br /> -- /6\-\\ ' <br /> (41,v' - (A rft--- (j,IC_ <br /> v,,-\ i . 0(RRL ,-- ole_ <br /> --.- .),1 pet.1/46,..0 v7t,,, ,Ieric ‘ ,.c_ -- cect « 9 <br /> ck_ <br /> utul-gxfov- fi v .f k c ' AkA (..,r il, case <br /> 1 ... <br /> INSPECTION RESULTS: pprovJ.e^ <br /> pproved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed <br /> a G �` ' -tk-C r� ?-t <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />