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MARION COUNTY <br /> - 1 . 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#: 16 640/'14i1 DATE OF INSPECTION: //1/1/3 <br /> SITE ADDRESS: W/J �• <br /> I <br /> CITY: <br /> **CIRCLE PERMIT TYPE** <br /> Building Mechanical Electrical Plumbing Manufactured Other <br /> INSPECTION TYPE(S): ?re_ <br /> v 41), <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> • <br /> cl? <br /> cS a <br /> s.° <br /> INSPECTION '.`SULTS: pproved <br /> ved w/Conditions <br /> Partial Approval <br /> Denied <br /> No Inspection Performed <br /> 4114 1 I(.331 <br /> Insp- 'or Name Date <br /> C:\U'.ERS\CTATE\DOCUMENTS\GROUPWISE\B-17 ONE TIME FINAL SLIP.DOC Rev 09/10, 10/17 <br />