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w v� <br /> °'" ''• \ MARION COUNTY r <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 /> o R E c o N \ <br /> ` Phone: (503) 588-5147/Inspection Line: (503) 373-4427 <br /> PERMIT#: a si ---& �44S', DATE OF INSPECTION: S 7 <br /> • SITE ADDRESS: Ve rj . 11,- LA SC <br /> CITY: (-30)(V3 = , • <br /> • <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical-' Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): c)( --(')`''r[�ik- <br />' REQUESTED BY: . <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> )f� {�f•'J,�1 COMMENTS <br /> f v ` erig;► 1 Qte-A''► cot. <br /> ,,,t4(..)& to,1\1---l' \,..,(41-E,5k-t (C.,,' <br /> r3`. LL , L ' <br /> \�(l ,, \ Vim;J�J_ <br /> CA5 .4CAljki r CIA GA/NS' aAct.; r• `I•i: y i 'i- , ' ,-.-• -101-- , • • - '•f."-r--• ' <br /> .` i I rye„ o‘1/444A <br /> J !. M1e. <br /> ---Erer,ck (..k.p t-L. ov 4 <br /> r c d . <br /> ` 'ao -) r <br /> ram- kif,;• , <br /> by,M, <br /> INSPECTION RESULTS: Approved - on -4/i tZy <br />• A . ied:w/Conditions - <br /> • Partal Approval <br /> Denied- ,._' -- - . <br /> - No Inspection Performed <br /> ' e _ �.c. <br /> Inspector Name Date , <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />