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covnxY u mno sPEcxxos <br /> 220 High Street NE <br /> <br />BU~D~G PERM~ ApP~CAT~ <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> MARION COUNTY <br /> <br />2, Location of )nstallation :: . ,,. <br /> <br />' P~va~ We]l ( ) Spring ( ) <br /> <br />3. Contractor Information , .! : .: ,.: . · ,, <br /> <br />4. Fee ~hedu~ <br /> <br /> ~) 5~ Sram Su~ha~e (,05 x Al) (4) AddiQon~ Plan Rc~¢ws or Addmd~s = <br /> (3) ~m~ ~ ~1ew (.65% x Al) = (5) <br /> (4) Fi= & ~ze Safcty ~n ~v~w (.~%.x A ]) '= ~ ~ ~ (6) R~s~6~ ~ ~ $25.00 <br /> <br /> <br />