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MARION COUNTY BUILDING INSPECTION <br /> <br /> MANUFACTUREDSTRUCTURE PLACEMENT <br />CO~TE ALL SEC~ON& O~4 PER~TAPPLICA~]0N <br />1. Job Description I Wa~OU BUILDING <br /> <br />2. Location of Installation <br /> <br /> si. No. , ......... <br />Scion ~ ~o~sMp ~ Ra~¢ ~ Z~e ~ Map WamrSu~ly; <br /> <br /> .......................... Co~m~ity Well ~ ) City ( I~ <br /> <br />3. Contractor Information <br /> <br />( ) I wffi be my own g~eral e~tmaor. <br /> <br />If I him suhaontractors, I will hi~ only subcontractors registered wi~ ~e Cmsm~ion C~u<mn <br /> <br />~ I ch~ge my m~d and do him a gcna~ ~tmcmr. I ~'~ct ~ a em~c~ who ~ ~$s~d' wi~ ~e ~nstmc~on Contract& s Boa rd, and <br />i~ed~mly no~y Ma~ ~ty of the name ~ ~e <br /> <br />4. Fee Schedule Q ~ , ' <br /> <br />A, (1) Mannfacmred Home <br /> <br /> or Modular Unit Placement/Connection <br /> <br /> (2) State Fe~ <br /> O) ~tate Surcha~j~.~ <br /> <br />$182.00= <br /> <br /> ~5.oo= q.le9 <br /> <br />TOTAL:S__ <br /> <br />B, (I) Mfg,'d Structure Storage Fee <br /> @ $ 2.5.oo ~ <br /> (2) Mfg.'d Structure Storage P,~ncwal @ 2~.00 = __ <br /> (3) Zorfing Surcharge (15.00 ii appligable) @ 15.00 = <br /> <br />C- Additional Inspectlon <br /> or R,inspection <br /> <br />D. Investigation Fee <br /> <br />E. Olhe~ ins~etions not Eslr~d <br /> @ 40.00 tmr hour (Z hour mlnlmum) <br /> <br />@ $60.00 <br /> <br />@ $40,00 <br /> <br />TOTAL= <br /> <br />I hereby ¢c~ffy that the above information is con, ct and that I have read and understand the Information Notice to Property Owners about Con~tmcfion Responsibilities <br /> Phone: <br /> <br /> placement, plumli~ng connection, electrical connection and mechanical cormcction, Site evaluation, septic permit, biecthcal <br />service or plumbing MC 1 <br /> <br /> <br />