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MARION COUNI'¥ <br /> OF BUILDING INSPECTION <br /> J~3oWntown Senator Building <br /> ?-20 High St., N.E. 2nd Floor <br /> Sa[em, Or~orl 97301 <br />~I1-HBOW, I~,LDG, ADMINISTRATOR <br /> 588-5147 - 5~E~5148 <br /> <br />Type of Permit: <br /> <br />Owner: ~. G~ <br /> <br />Pla~ by; <br /> <br />LOt No: FJIk. No:. Sub d_v. <br /> <br />Water Supply; <br />Sewsge <br />Disposal~ S;~TC ,. , <br /> <br />Area of Bldg; 10 X 10 <br /> <br />Heating <br />SyStem: <br /> <br /> Study. <br />~ ....... Type: <br /> <br />~TICK <br /> <br /> Lc~t $ z~ I AO~ Oorn~r~ <br /> <br />Permit Fee: ~ ,. . <br />State Surcharge; _ 4 ~ ..... ~ <br />Plans Chk. Fee: <br />~ptlc Permit Pea: ......... <br /> <br /> I~TU: ..... Total Fees: ~ ~. <br /> <br />SIGNATURE OF APpLI~NT~ ~/~' -- ' ~ ~ <br />VALiDATiONS: ' r ..... <br />~ZONING ~ ~ SEPTICTANKsy , By:pLANS ~ <br /> <br />FII~MARK$ <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Work~: <br /> Other permit~ require<t by this dspt: Plumbing [] Elect~ic~J <br /> <br /> <br />