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I FOR O~IC~4SE ONLY1 MARION COUNTY BUILDING INSPECTION ~E ONLY <br />ReCeived By ~ ff~-~*~z.~.< <br /> - ~ . 220 H~h S~t ~ ' ' <br />zo~ v~.~o~: 2/7~ ~- s~, o~ ~0~ I~*~~'~: <br /> <br /> BUmD~G PERM~ APP[IQ[TIO~ ~S~ <br /> CO~LETE ~L SECTIONS, 1 ~OUGR 4 ~B~ %" <br /> 1. Job D~eription <br /> <br />2. Location of In aIlation <br /> <br />su~ivi~o. /~e,~,~,.;~i ,,~z,./,~,.~ ........ ~ ~ / ~ ....... . ..... ~,~ ~ ........ <br />Mob~e Hom~ Pa~ S~ ~ <br /> <br /> .......... Commu~ityW~ ( ) City (~' <br /> <br />3. Contractor l~ormation ~ <br /> <br /> ( ~I own, ~ide h, or w~ m~ide ~ ~¢ ~mple~d s~m~u~. <br /> <br />~I him subcontractors, I will him only subcontractors mgistarexl with the Constmctlon Con ractor~ ltoard If I change my mind and do h~rc a general comractor, I will co~traet <br />with a contractor who is registered withe Construction Cc~arraetOr's Board, and will immediamly not&fy Marion County of the name of the ¢omracton <br /> (~i am a reglstered bl$11der OR the authofir~:d mpresentetive of a registered builder' ' <br /> <br />Archlteet name: [ Maillng Address: ] Phone: <br /> Fee Schedule <br /> <br />A. VALUA'i'fON (See "Valuation Schedule" <br /> to det~mtine valuation based on <br /> squam footage,) <br /> (1) Pennit <br /> (2) 5% State Surcharge (.05 x A I ) <br /> <br /> (3) Structural Plan Review (,65% x Al) <br /> (4) Fire & Life Safety Plan Review (.40% xA1) <br /> <br /> (1) Driveway w/curb @ $7 50 <br /> <br /> ¢2) Driveway w/o curb @ $17.00 <br /> <br /> (3) Site Plan Review (commercial truly) @ $79.00 <br /> <br /> (4) Addiilonal Plan Reviews or Addendums <br /> <br /> (5) Investigation Fee <br /> <br /> (6) Re. inspection Fee @ $25,00 <br /> <br /> (7) Other Impect~otts not listed above <br />~cml~ / ~ 79(., <br /> <br />Site evaluatiol}s, septic, electrical, pluab~g ~d mechanical wo~ require se~mte pe~ita. Check wi~ Marion County 8uildkg Inspection ~for¢ ~u~ittmg ~is application. <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />