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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#: 5 76- -OO V I0 DATE OF INSPECTION: q f /t_L <br /> SITE ADDRESS: ill 'D )),C3WODA Ci f Se- <br /> CITY: 0 r1S <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Septic Manufactured Other <br /> INSPECTION TYPE(S): "-Qre,e,OVeir <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> I 1 ,wok(' 4e-5 1y -O K COMMENTS <br /> Fig <br /> mcia5-fil(i14(0.) <br /> (�.I irtAcc - -ott <br /> 66d t C 6+Ctr _9 <br /> INSPECTION RESULTS: Approved <br /> ..roved w/Con.itlons <br /> Partial Approval <br /> Denied <br /> No Inspection Performed ��/�it L-✓J <br /> Inspector Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />