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MARION COUNTY BUILDI, NG,INSPECTION [FOR OFFICE USE ONLY <br /> 220 High SU~t~ ~ ~ ~ ~ ~ <br /> <br /> F~ 588-7948 <br /> BU~D~G PERM~ APPLI~0 U N ~ <br /> <br />COMPLnTE ALU SEC~ONS, ~ Tm~OUOH 4 BUILDING INSPECTION <br />1..lob DesCription <br /> <br />z. Location of Instunation ~t~'./'/8 ~! <br /> <br /> 4. Fee Schedule <br />~. VALUATION (See "Valuation $fihcdule <br /> lo detem~ne valuation b~sed on ' <br /> squa~ [~t~ge,) Valuation: <br /> <br /> (2) 5% SU~ Surcharge (,05 x Al) <br /> <br /> (5) 7~ng Sumha~¢, if a~Kcable (,05% x A I ) <br /> <br />(~) Driveway w/o curb ~ $17.~ <br /> <br />(4) Addi~alPlan Reviews <br />(S) ~s~d~ Fee <br /> <br />(6) Re~s~ Fee ~ $25,00 <br /> <br />1 heroby certify 0, al thc abo.¢= information is ~on'~et and t~at I have read and unde~tand the Information Notice to Property Ownera abc. mt Constmctlon ResponsibiLities on the <br /> <br />MC 15-73 Rgv. 11/91 <br /> <br /> <br />