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�� �. i'refabricutec. �tc•uctures Inspectioi� :'. �� r; `. '�
<br /> � '""t .'� Ucpartmeut of Co��sumer X I3usiness Ser��ices J Ore��on
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<br /> '.`-i�.:. Building Codes Division • li3i Ldgc«'.ucr\\\. Salcm. � �R .,;J \`atiLin��lcm
<br /> �e's�" ,\Iailin!_ address: P.(�. lio� 14770. Salcm. UR 97309-0=104 J Idahu
<br /> �;03)37h-30R(l, P;��: (�0;);73-f l''Jh.7"1'1`. (iO3�3?3-13i5
<br /> \V'cln c�d.arc��on.cm� ❑ Clthcr: _._
<br /> , ;,:� TYPE OF MSPECTION _
<br /> �W__�._ ..c3�.h]aG�s1 -.v—._. . , .
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<br /> C*1 Visual 0 In-pla�u J In-suur J ti��cci,d � Ou-sitc � Out-ol-sicuc
<br /> j �'' r ;+�t� +:',��, �� =� INSP,ECT�ON �NFORMATION ' , ` _ _
<br /> \Ilc u�m�c: �� � �� �1 '�_ � �� A1�. _ �. llw�� u� uupccuun �- �-U�1Dalc rcqu�sicd: �" r'. � . Cl��
<br /> �' ` � Inrtallatinu lucation:
<br /> Iuspcction locauon: !,; ��5 �l�1� � `.
<br /> I',in}� �u bc billcd: �,! . L �� -�. .._ �._ � N�,1�'= �'- �� . C;ontact person:
<br /> ,' 1_1 ,,.�' _'.. Phonc:
<br /> 13illing riddress: ' . i_ , - -
<br /> Cii}': ;'1-)�'rrl <, ✓1 LL� � Sta�c: _ CJ �L- ZIP: �'I 1 � '' I
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<br /> Inspcctor i��mc: ;..�f. ^ . i •._'�.�'�.1',: . I�imc iu: � (' � �� Timc out: ]osignia issucd: ❑1-es ❑V'� ,I
<br /> ;.
<br /> �Covcr ..V' r�J' Pinal ❑ Re-inspcction �
<br /> ❑ 5 -70711;1190 ❑P- 70C,111191 ❑ 5 -70'll ll�m .� I'-"(�t�ll 1191 ❑5-70711,II90 ❑P-706111191
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<br /> ❑T1 70711�1190 � *1 70I111191 ❑ '�I-"'U'II II'm J I i�1111I91 ❑nl 70711 ]]90 � �'� 7011I ]IJl
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<br /> `.� ,�` fr.'/��' ' INSPECTION REPORT: .��' ,_,,, �: - -
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<br /> Insp�r�n � t� u iiuru _ !._ � -=---- ��ra«I '_l Pcrmi�
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<br /> Immcc In�nlloa�. h�clud� p.nmcut Im ill mspectiuns I»spcction um� � ' �' �I�ol(tl hoUi's
<br /> perfunucd dw•iny�calcnd:u•munth. 1':��ineut duc 30 Crn�sult.tuon:_ 1 ' -
<br /> da�s il�um liilling dntc.
<br /> _ � R�� curcl�arec i sin�ci mccl�l: (70711 1'_911 "J I-hour
<br /> Rcccir�ed lic.._�;, �:._..r. �- � Dnic: i %, - minimum
<br /> $�'r surcl�ar�c (plumUing): (70611,1'9l)
<br /> � S',� sur�hamc iciccl�ic;d) : (70ll 1 I"_'91)
<br /> �� ' DEPARIMENT(��
<br /> I� Cni�SUM�_��
<br /> r,� ���3USINESS
<br /> �. IXSEI:VICES I'nge � ��f� �'
<br /> � i� ,c�..�.iin-.� � ��i� I�irelinm.Nillino \rr�in�l�nm'-�'Jr ���I�ir�lrililt-��:u1111:iC111fC1' . -
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