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MARION COUNTY BUILDING INSPECTION OFFICE ONLY <br /> 220 High Street NE lot,/Setback Requirements: ~ <br /> Saleml OR 973~%~ ]~ ~F~ / IRe;;:''''''1 ~ / <br /> e' / Right Side' .~' <br /> FAX 588-7948 K8 ~ <br /> BUILDING pERMIT APPLIC~Ok ~ {99~ <br /> <br />COMPLETE ALL SECTIONS, ] THROUGH 4 MAtlION COUNTY <br /> <br /> 300 De$crlpzlon HIIII IIINr-' <br />RI~.q~IDENTIA L COMMERCIAL'" ( )New <br />( )Addifi~ ( )Rd~fion ( )Ad&~ ( )Sign <br /> <br /> Locatio~ of I <br />Z.: nstallation .: t: <br /> <br />3. Contractor Information <br /> <br /> (i~, msMe ~, ~ w~ reside ~ ~ <br /> (,,) I anti.anti ~at I must ~smr ag a ~$t~ e~tm¢~ ff ~e s~um la soM or ~emd for sale b~ore or u~ c~ple~. <br /> <br />Architect name: I lvlaili~g Addr~m [Phone: <br />4. Fee Schedule <br /> <br />B. Miscelhneous F~s <br />(1) Driveway w/co, th @ $7.50 <br />(2) Driwwa~ w/8'¢ad, @ $17.00 = __ <br /> <br /> (3) Site Plan R~vlew (commercial only) @ $79,00 <br /> (4) Additional Plan Reviews or Addendums <br /> (5) Investigation Fee <br /> (6) Rehaspection Fee @ $~.00 ,--r'~ = <br /> <br />I hereby cenl/y that the above informatiOn is <br />reverse side or'this form. <br /> <br /> Site evaluafiom, septic, electrical, plumbing and mecbanic~}k~vork r~qulm ucperat¢ permil~, Ch=ck with Marion Coumy Boilding Inspection b~[o~ q~bmitting this applica6on. <br /> <br />MC ~5-73 Rev, H/9~ <br /> <br /> <br />