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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#: 4'I 0 0 6ADATE OF INSPECTION: OJ & / (& <br /> SITE ADDRESS: l f R , `C <br /> CITY: <br /> **CIRCLE PERMIT TYP ** <br /> Building Mechanical Electrical Plumbing .Septic Manufactured Other <br /> INSPECTION TYPE(S): S( <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: kaki , PHONE NUMBER: <br /> COMMENTS -00 C '5 <br /> AC°/r <br /> cdr/W}C <br /> SAS <br /> c4proveS <br /> INSPECTION RESULTS: Approve <br /> Approve w/Conditions <br /> Partial Approval <br /> Denied <br /> / No Inspection Performed <br /> \ <br /> V�I'Vi /mot(c��^! l �1adJ J9 c( <br /> Inspector Name W Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />