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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#: 6611114 DATE OF INSPECTION: J cI <br /> SITE ADDRESS: Q-19, LA$ \v A\ S <br /> CITY: cit/kVA <br /> **CIRCLE ' _'MIT TYPE** <br /> Building Mechanical Electrical Plumbi : Septi Manufactured Other <br /> INSPECTION TYPE(S): °Jjr fl\tJ [AA <br /> REQUESTED BY: ; i V 2 IQ <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> Cejr ( 52/4lablsni <br /> INSPECTION RESUL • Approve. <br /> : -. onditions <br /> Partial Approval <br /> //' <br /> Denied <br /> No Inspection Performed � IQ q <br /> Inspect ir Name Date <br /> C:\USERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10,10/17 <br />