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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 /> OREGON Phone: (503)588-5147/Inspection Line: (503)373-4427 <br /> *PERMIT#: 111 OQ b Q DATE OF INSPECTION: to ` ) R I t4 <br /> I <br /> *SITE ADDRESS: en-00 t'Q-+vtr- ed- ri <br /> *CITY: STAk-eiV — <br /> **CIRCLE PERMIT ' <br /> Building Mechanical Electrical Plumbin• Septic Manufactured Other <br /> INSPECTION TYPE(S): <br /> REQUESTED BY: <br /> CONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS ,, ('� <br /> NO telt g'^V � r d- Litt_ <br /> fes+ wl ��d < <br /> .t M n 1tVlVM of ce <br /> (Q,c�t1 {o 1/ k riser) i <br /> vuth -IC CAU ccv� mi l he-‘ a lc <br /> re, - o IC <br /> (-600p v/>t "C <br /> INSPECTION RESULTS: — _ / W 0C if <br /> Approved V�D" <br /> Approved w/Corrections ° C.) <br /> /n� <br /> Disa'proved �� ° O <br /> As-YS OV L I <br /> +��t• • pproval <br /> ion Performed <br /> 0,\Lei <br /> 0-111, 61/15 it/ill bb <br /> Inspe. .r Name Date <br /> W; 4� c - Ing -u6' <br /> A service to promote health, safety and welfare of general B public. ��)�/�Q`�� <br /> O:\FORMS\BLDG\ -17 One Time final slip.dic <br /> oc rev.09/2010 w� � `r✓ <br />