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FOR CITY VALIDATION <br />~ec¢ived By: __ <br />Zoni'ng Validation: <br /> <br />Date:., <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 24 hr. ~nSI~ctlon Line 588-7904 <br /> <br />COMPLETE ALL SECTIONS, I THROUGH 4 <br />L JOB DESCRIPTION <br /> <br />BUILDING PERMIT APPLICATION <br /> <br />FOR CITY USE ONLY <br /> <br /> "RESIDENTIAL COMMERCIAl:" Use of St~'ucture: <br /> ( ) Addition ( ) I~location ( ) Addition ! ( ) New IF~ <br /> ( ) Alteration ( ) Other ( ) Alteration ( ) Sign __ . · <br /> ( )Accessory ( )ChangeofOceupaney ( )Other <br /> <br />Square Footas.e.,Ba~ement: ,,, ]MalnPloor: l Second Fl,~or:, ,, I Oarag¢: ,. I;;b*r; , l li~i';ht: <br /> <br />2, LOCATION OF, INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />| <br /> <br />4. FEE SCHEDULE <br /> <br />A. <br /> <br />(2) Inve*tigation Fee <br /> <br />(3) Reinspeetlon F~ @ $23.00 <br /> <br />(4) Other Inq:n~tiOna not listed ahoy* <br /> <br />I hereby certify that the above information Js correct. <br />Permits are non-transferrable and e×p~re if work is not stax~d within 180 day* af issuance or ff work is suspended for 180 days. <br /> <br />Name of Applicant (Please Print): ,, Phone; <br />Signature of Appl}cant: Date: <br /> <br />TOTAL <br /> <br /> <br />