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F~Class at Buildm9 , --'
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<br /> DEPT. OF BUILDING INSPECTION
<br /> Marion County
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<br />W. K. GF~ABEF~, BLDG, ADMINISTRATOR
<br />364-4401 Ext 55 C;our[hou~e
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<br />APPLICATION FOR BUILDING PERMIT
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<br />Pou~it Faa $
<br />Bepti¢ Tank
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<br />Application is mode to ~
<br /> Kepa i r
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<br />Dernohsh Shucture ,,,~/ _
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<br />Total Fee s ~%:. ¢~'r';
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<br />?his permit cov.cr~ r ,
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<br />tot Block Addition
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<br />Lot Size Size of Bldg
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<br />Value of enhre ~o~k when comp~oted h~cludin9 labor and materials::
<br />Buildel.,~ ~¢~.~ ~/~, ~/ Address ~Z~. PhOne.
<br />Architoct Address ~ Phone
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<br /> DESCRIPTION OF WORK
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<br /> Zone Clao~lgo N~, ...........
<br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT VorTance Cac, e No
<br /> o9reo to build uccording to ctbovo do~criphon plans and specifications and the 8(~ng Coda of Marion¢~t~ fi ~/¢
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<br /> J A~) o ed-Not A~ ~o,ed A~oved--Not A~rf~ved / ~
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<br /> :_',, /.ST ~,~ ~o,~~- .T;'} .... Z~: ,~.~ ~- 3 ~
<br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: Heating /-~lumbing ¢/-'
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