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Zone <br /> <br />Fire Zone <br /> <br />Type of Building <br /> <br /> :lass of Building <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Marion County <br /> <br />W. K. GRABER, BLDG. ADMINISTRATOR <br />3644401 Ext. BE, Courthouse <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Valuation s <br /> <br />Permit Fee ~ <br /> <br />Septic Tank <br /> <br />Total Fees <br /> <br />Application is made to <br /> <br />Addres~ .... <br /> <br />Lot <br /> <br />Alter <br />Repair <br /> <br />Block <br /> <br />Lot Size ........... jDiJ_,X.--±U U <br /> <br />Relocate Building <br />Demolish o Structure <br /> <br />This permit covers <br /> <br />Construction <br /> <br /> De~z. oit; Or.e~ on <br /> <br />.......... A d d ition ~.,~t3,-o~d <br /> <br />Size of Bldg. <br /> <br />Number of Stories -- <br /> <br />__ Basement <br /> <br />Heighl ir/ feel <br /> <br />Sewage Disposal .~.epti~: Talq_k Water Supply <br /> <br />Value of entire work when completed, including lobar and materials: t ~1.00.~00 <br /> <br />Builder H~a~ S~ith Address <br /> <br />DetrOit, <br /> <br />Sale~, O~'eSm 97302 <br /> Phone ~ <br /> <br />Phone <br /> <br />Architect Address Phone <br /> <br /> DESCRIPTION OF WORK <br />.............. O,o~plete escavation ~nd installation o£ ~epti¢ tank syBtem: <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />Zone Change <br /> <br />Variance Ca~e <br /> <br />agree to build according to above description, plans and specificoBons and the Building Code at Maricm Cc, unty. <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: Heating Plumbing <br /> <br />  E RMIT ISSUED <br />By f/ ,' .......... <br />°ate j <br /> <br /> <br />