Laserfiche WebLink
I OR Omc)} <br /> Received By: ~ <br /> Zoning Vali0atioa: ~ <br /> <br />MARION COU, NTY BUILDING INSPECTION ['FOR OFFICE USE ONLY <br /> 220 High SIn~t I'~-~ ~-, ~ lciw S~tbeek Re. qxllr~nents; <br /> <br /> F~ 558~ ~ ~ ' " <br /> <br />COMPLETE ALL SECTIONS, ! THROUGH 4 MARION COUNTY <br />1. Job Description BUILOING <br /> <br />2. Location of installation ~ q7_~,~.5 <br /> <br />Subdividoa Loc Block <br /> ...... Community, Wen( ) City <br /> <br />3. Contractor Information <br /> <br /> ( ) ~ and~nd ~at I must ~s~r as a ~nst~d~ ~o~ ff ~ a~u~ is sold ~ offered for ~ bcfo~ ~ u~ e~pl~fi~, <br /> <br />him subcontracwrs,1 will him only subcontractors mglsterexl wi~ &~ ~ns~alon ~tr~m B~, ~I ~ange my ~nd and do Mrc a g~n~rd coBt~ct~, I wi~ ~nt~ct <br /> <br />4. Fee Schedule <br />A,' VALUATION ($c~ ';Valuation <br /> to datarmi~c valuatkm based ~ <br /> square f~g~,) <br /> (1) Pe~it F~ <br /> (~) 3% Sate Su~a~c 605 x Al) <br /> (3) Structural H~ R6vi~w (.~% x A <br /> (4) Fire & Lif~ Safety Plan R~i~w {,~% x <br /> <br />Miscellan~c~s Fees <br />(1) Driveway w/0urb@ $7.50 <br />~) Driveway w/o ~u~ ~ StT,~ <br /> <br />0) Sim Plan Renew (~me~ ~ly) <br />(4) Addi~onal Plan R~ew$ or Add~d~s <br />(5) h~sfigafi~ Fee <br /> <br />(6) R~S~ Fee ~ $~.~ <br /> <br />~) O~er~s~efioas~ot gsted above <br /> <br />I hereby toady that the abow information is correct and that I have r~ad and understand thc I:fformation Notice to Proper~y Owners about Constn:ctiort Responsibilities on the <br /> <br />Signature ofAppllcant; /c~"~/'~P'~.~' rxd-'~ Dat~: <br />$i~¢ evalualion:, septic, electrical, plumbing and eneehanical work require sepcea~e permits. Cheek with Marion County Building Inspe~ion before ~ubmitting this appticadon. <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />