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MARION COUNTY BUILDING INSPECTION F~_ OFFICE '~SE ONLY <br /> 220 High Str¢ct NB ~ ] ~ity Setl~ack R~luir~rnent~ <br /> <br /> BU~D~G PERM~APPLICA~ON ~' 5 199~ <br /> <br />COMPLETE ALL SECTIONS, 1 TI{ROUGH 4 MARION COUNTY <br />1, Job Description BUILDING INSP[ CTJ.ON <br /> <br />3. Contractor information <br />proper ty Own=r~}~/r~ ~5 /~ ~ i/.~./ 7 ~ } Marling Addre'sa J Phone No: <br />( ) I o~, reside ~, ~ w~ m*~ ~ ~e ~mpleted stratum, <br /> <br /> ( ) I wffi ~ my o~ gmeml oontm~or. <br /> <br />Fee Schedule <br /> <br />A, VALUATION (S~a "Valuation S~hedul~" <br /> <br /> (I) permit <br /> (2) 5% State Surcharg~ (,05 x Al) <br /> <br /> O) Stmetu~l Plan Review (.65% X Al) <br /> (4) Fire & Life Safety Plan Review (,40% x <br /> <br />(1) Driveway w/curb@ $7.50 <br /> <br />(2) D~veway w/o curb ~ $17.~ <br /> <br />(3) Site Plaa Renew (c~mc~ ~ly) ~ $7p.~ <br />(4) Additional Plan Renews or Add~d~s <br /> <br />(6) R~c~ Fee ~ $25,00 <br />0) O~er ~cfms n~ ~s~d above <br /> <br />I hereby certify that/he above information [s correct md that I have f~ad and unde~gand the IMormatlon NOtice to proI~rLy Owners about Conat/ucfion Responsibillties on the <br /> / I <br /> <br /> <br />