Laserfiche WebLink
IFOR t~y *T~ ONLY I MARION COUNTY BUILDING INSPECTION <br /> · %.,1-4~, ~.~/a~ ntxaa_~__,l~ CO~TYDE~LOPME~CENTER <br /> <br /> Zo~Mi~t~n: _~ ~ [ 8:.am~:30pm Phnne S8~514~ t~ ~ <br /> ~ ~ ~ d~/~ I 24 hr. lnsp~on L~e 588-79~ <br /> <br /> SITE EV~UATION ~/OR SEPTIC PE~IT ~PLICATION ~A~10~ COUNTY <br />1. LOCA~ON OF ~ST~LATION ~UILDIN6 [NSPEOT{0N <br /> <br />' ~on ~t Block No. Employes <br /> ~va~ Well ( ) Spring <br /> <br /> ~tWi~ ~,~ Ae~s , ~ Ineg. Lot Comer Co~*W~ll ( ) Ci* <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />L Mail~g Address Phone No. <br />Mailing Address Phone No. <br /> <br />Site Evaluation, Single Family Dwelling, first lot ......................................................................................................... $320.00 <br />Site Evaluation, Single Family Dwelling, ea addl lot ...................................................................................................... 235.00 <br /> <br /> Standard System ................................................................................................................................. 382.00 <br /> Aerobic Systera .................................................................................................................................. 218.00 <br /> <br /> Commemiai Minor Repair ......................................................~,.?.~ ............... 173.00 <br /> Singl~ Family Dwelling, Minor Repair (tank only) ................................................ ~fi=x~-~'¥ ................................. 130.00 <br /> Single Family Dwelling, Major Repair (drainfield) .r~.;~. xN..c ,~....~:. ~.....~v.% ,~..1,:..x,~,.* ............................ 210.00 <br /> <br /> Residential or Comraercial: ~ ~'X'A~ ~ ~. 7 00 <br /> <br /> Annual Evaluation. Large System ..................................................................................................... 123.00 <br /> <br />+ $100/500 gallons <br /> <br />+ $251500 gallons <br />+ $251500 gallons <br /> <br /> Name of Applicant (Please PrlntS.t: !/~ ~¢'*~--sL'~' ~1,'~-~'~T <br /> Signature of Applieam: ~7~.,t A ~'~b~,-~ ' <br />' MC tS-SI Rov8~5 V e' ·-[ it-- <br /> <br /> <br />