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FOR GITY VALIDATION MARION COUNTY BUILDING INSPECTION I FOR CITY USE ONLY I <br /> ~ ,n , /~ .4 ,,~ z. COMMUNITY DEVELOPMENT CENTER [ <br /> I <br /> <br /> ,t~ <br /> <br />( ) Alteration ( ) Other ( ) Alteration <br />( )A~so~ ( )C~cu~y <br /> <br />LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />No. <br /> <br />Name <br /> <br />4. FEE SCHEDULE <br /> <br /> A. vA~UA~O~ (see ,,wua~on s~w, to ~ wd~on t,~,s--/O~ ?-'/I-.~ <br /> <br /> --'/Kq$ <br /> <br /> O) ~imp~ioo p,~ ® S~O <br /> <br />P, GC~Ff; ~ -. s <br /> <br />I hereby certif~ that the above information is correct <br />Permits n~e non-transferrable and expire if work is n~ ~,tarled within 180 days of issuance oa' if wink is su~ for 180 <br /> <br /> <br />