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MARION COUNTY BUILDING INSPECTION <br />.... SENATOR BLDG, .0. 225 <br /> HIGH STREET N~ <br /> <br /> , PHONE.: ~8-5t47 8:~- 4:80 -- <br /> <br />~ ~4~ S7~. VFR F~LLS H~Y ~E . <br />4 <br /> <br /> ..... SZTE NU~ER= <br /> PHOI,fE~ ~B8-5724 ~ V~ .,UATION. <br /> <br /> J ~' ~. ' AC NO · J NO <br /> <br /> TEST BOL~$ RE~Y~ <br /> PER~IT O~ ~P~ZCATION HO: ~44~7 S~TE EVaLUATiON <br /> EXISTIN~ T~NK <br /> ", EX~STZN~ ~N FZEJ..D LINES: <br /> ?]~IT~ACTOR~ NO. 7116~ <br /> <br /> PO ~rJX ?J241 '," '..' , PREVIOUS' NO; BEDROOMS: <br /> <br /> [Tgfl ; aUANTZl'Y AHOUHT <br /> <br /> TOTAL ABSE,3SE~ FEE~ <br /> -'' ': .... PREV:[OUS RECEIPTS <br /> · . : "..:-.:.71 .' .:.......".. ' ."THIS' .RETCE'~PT <br /> ' "~ .'.'. ...":'." :~L~NCE.' DUE.- *,~,, <br /> PAYEE~ LARRY KEDDELL ..'. . ................... ' .""'-':':"~.".'...'.'. :... := '"' RECEIPT <br /> <br /> 81~SIRUCTJ;ON F'ER~:[TS ~ST,-..B~ ~Bt)TA~NE~ ,BEJ;'ORE,,~U~L~N~ OR ,~EPT~C ~NSTALL~ON <br /> ,.. <br /> <br />CORM ~ u¢*~.~,~.:.~ OFFICE COPY <br /> <br /> <br />