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MARION ~COUNTY B'F~~OM <br /> <br />Zon~ngValidatiom ~: ; ~.~} / 8;~am-4:3~o~1~ n rant, ~[Fmt: /~/:' /Reac: /J / <br /> <br /> MANUFACTURED STRUC~RIO~ <br /> CO~LET~ AL~ S~cnoNs. i zlmoua~ 4 PER~T APP~iNSPEGTi0N <br /> L Job Description <br /> <br /> ( ) A.acbed <br />Commerdal( ) New( ) l~placemem( ) ( ) Detached <br /> ................ Lmlgth: ' WJdlh: <br />Manufactume~ Year of ~lor of <br />Serial ~: ~/O~ M.~ufactu~: q~ i Approved ~bel: ~_ , qqr <br /> <br />2. Location of Inslallation <br /> <br />Subdivision ~: .... ] Bilk Urban G~wth Bomlda~? <br /> i'fiva~WelI ( )Spdng ( ) <br /> <br />immediately notify Marion County of the nam e of the comtaetor, ,~¢/- q..Z ~ ,/~ t/.J q, <br />Contra.~t°tBusinessNam~&#:ffi/i/~tr'/)~ /~l~i~.-2g {MaLlJ~gAddress:cT~b-- ~. /9,5~.~,~ t~'hone: <br />?~"}Iamaregist~dbuilderO.,.~.l~t~orized~aresen~veofaregi~tetexlbuilder, [/~ O D C3{ 198 t,' ~ , O E ~L ~ 70 1 I " <br /> <br />A. (1) Manufactured l-lome <br />or Modular Unlt PlacemenffCoxmectloa @ <br />(2) State Fee @ 20.00= <br /> <br /> (3) State Sumhal,g¢ @ ~,CC~- <br /> (4) .Z~nin~ <br /> <br />B. (I) Mfg.'d Structui~ Storage Fee <br /> @ <br /> (2) Mfg, <br /> <br /> (2) Zor, i~g $~:tc. haeg e (15.00 ff app½eable) @ 15.00 = ~ <br /> <br />To'r^L %,ol 3d, <br /> <br />C, Additional~nspeetion @ $60.00 = ~__ <br /> or Re, specimen .... <br /> <br />D, Investigation Fee <br /> <br />E. Othme in~l~efiona no% listed <br /> @ 40.00 per hour (2 hour l~,limum) <br /> <br />@ <br /> <br /> <br />