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MARION COUNTY BUILDING INSPECTION <br />I~e~l a~,r Bi~9. I~). 225 <br />220 High 8treat N~ <br /> <br /> BUILDING [] MOBILE H~ PERMIT APPLICATION <br />'~ropar~y Ov, r~c ~~ ~~ --' <br /> <br /> Job Ad~mss'i~j~l~ $~ No.' Cram Gtteet <br /> I:~erly Ta~ Lot No ~at ~'C <br /> <br />Lot <br /> <br />Mobile Home <br /> <br /> 'rovm~hlp: <br /> <br />Cor~tet- <br /> <br />'-C~~ Na. Phone: ~ <br /> I <br /> <br />Pn>po~ed Septic <br /> <br />Sel~ ~ystern: <br /> <br />Date Tank Pum..~.~ <br /> <br />PrO~,o~ad Bedrooms: <br /> <br />Exlsfln~_Beclrooms: <br /> <br />Iarn ~erlorr~ :.'~'k on e laOpert~ I own m oeoupy <br /> <br />bulda- <br /> <br />Uae of I~uilding: <br /> <br />Sq. Ft. Ga. raga <br /> <br />OTHER PERMITS REQUIRED BY THIS DI=pI:: PUJMIa~IG, MECHANICAL. I~L~C;llqlC, AL <br />MC 15-6 <br /> <br /> c~ uj <br /> <br />JWare, <br /> <br />BId~. Fee <br /> <br />Mobile Homo Fee: <br /> <br />Fleet ~:urohal'ge <br /> <br />Zc~i~g Surcharge <br /> <br />DEQ gu~oharga <br />Tect'mi0al P~*ev~ Fee. <br />P, einspeobon Fe~' <br />Inva~lgation Me. <br />City Fee' <br /> <br />TOTAL FEE <br />RECEIPT NO.: <br /> <br /> <br />