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FQR CITY VALIDATION MARION COUNTY BUILDING INSPECTION ~ FOR CITY USE ONLY <br /> <br /> ONE & TWO F~LY DWELL~G PE~ APPLICATION <br /> *Inc~d~ ele~al, m~hanical, plambing f~ <br />CO~LETE ALL SECTIONS, 1 ~ROUGH 4 <br /> <br /> ( ) New Single Family Dwelling With A~hed Garage <br /> ( ) New Single Family Dwelling With Detached Garage <br /> ~N~New Duplex / <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />No. B~ooms: <br /> <br />Wa~ Supply: <br /> I <br />Commmaity Well ( ) Cliy <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SCHEDULE <br /> <br />Dwelling labels must be obtained at Marion County Building Inspection and must be placed at th <br />mechanical work. Contact Marion County for instructions. <br /> <br />prior to inspection for plumbing, electrical and <br /> <br />I hereby certify that the above information is correct, Permits are non-tvansferrabl~ and expi~ if work is not started within 180 days of issuance or if work is suspended for <br />180 days. <br />Name o f Applicant (Please Print):T~/~ yi t./~4 /$ hi y Phone: :'~ <br /> <br /> / <br />MC 15-80 Rev 1/96 <br /> <br /> <br />