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4?2MARION 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#: . It{- O O woe? DATE OF INSPECTION: 12 c- vc i 2- 2-O(Li <br /> *SITE ADDRESS: qtg a> kiA2Pat,d S(- <br /> *CITY: <br /> *CITY: <' n. <br /> **CIRCLE PERMIT TYPE" <br /> Building Mechanical Electrical Plumbing epti Manufactured Other <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> I'ar�lz - Ieva wicE rlt r Z" Lvtita rl ur �oK <br /> 2 HiSeSk✓(act <br /> LIQ mac` d n ms.„ ,Lwyze.z d cK <br /> Ihs�6.ct 0.4,11tcln( 70'19 <br /> INSPECTION RESULTS: <br /> A'proved <br /> Approved w/Corrections <br /> Disapproved <br /> Partial Approval <br /> No Inspection Performed <br /> Ce&e,di IC '1/( /Z (OS .fVP.14-eo_- 1i O-c i <br /> Inspector Name Date <br /> A service to promote health, safety and welfare of general public. <br /> GAFOR One Time final slip.doc rev.09/2010 <br />