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~FOR CITY yALIDATI, ON <br />IZoning Validation: ~ s: 147 <br /> <br /> BUILDING P~IT,, APPLI C~[]0/~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> <br />FOR CITY USE ONLY <br />~ a~O / ?-~ o-~/ <br /> <br />1. JOB DESCRIPTION ~'z/~C'~'/'~_~,.~dC¢,~'''' <br /> <br />2. LOCATION OF INSTALI kTION ¢ <br /> <br />3. C~)NTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> ((y I am the PROPERTY OWNER and own, gsM¢ in, or will reald~ in thc comple~d st~cture and will be my own general coati'actor. I understand that 1 must r~gism' ~s a construction <br /> contractor if the s~u~t~r~ is sold or offered for sale b~for~ or upon completion, If I hire sub~ontra~ars, I will hire only sub~on~ra~tors registered with th~ Conatracthm Contractors Board, <br /> <br />4. FEE SCHEDULE <br /> <br />A. <br /> <br />VALUATION (See "Valuation S~h~dul~" t~ d~tm'mine valuation <br /> <br />on squar~ footage of project) Valtmtion: $ <br />(1) Pc~t F~ <br />(2) 5% S~ Su~h~ (.05 x Al) <br />(3) S~cmral H~ Review (,65% x Al) <br /> <br />I hereby certify that the above information is correct. <br />Pentfits are non-transferrable and expin~ if work La not started within 180 days of issuance or if work is suspended for 180 days. <br /> <br />MC 15 73 Rev 1/95$ignat7 °f Applicanl: ~ ~~f'~ ' Date ' ~"~ ' <br /> <br /> <br />