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MARION COUNTY BUILDING INSPECTION <br /> <br /> 555 Court St. N.E. · PO Box 14500 ° Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 ° Inspection Line: (503) 373-4427 <br /> <br />DA'T'E OF INSPEC'I:I(]N:I <br /> <br />-x-*C t RCL.E I I::. I,.PI .L [ TYPE J: <br /> <br />P '1 u m b :i. n g <br /> <br />PHONI <br /> <br />COPIPIENTS . I _ <br /> <br />MBER: <br /> <br />.INol"l::[,i] N I.l:.oU~..lo. <br /> <br /> Approw:.)d <br /> <br /> .. d <br /> ( r'P~;I r (:, v a '1 <br />~_..~...~ ~ '~ Nc Ir,~spect:i. on I:er'-F'or'mod <br /> ............ ............................................. ......................................................... <br /> <br />:[ I'~I:)E.? C J: O Y' Name <br /> <br />D a t e <br /> <br />A ~ser'v:L,::e to promote hea'lth, sa+'et'? .and ~elfar:!? o.F the genera] pul:)1 <br /> <br />k:b:L/'Porm!)/'B17Ain!sl)eC~.s'llp ONE: TIPIE F'INAl....doc rev:lO/02:,6/03 <br /> <br /> <br />