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[-'D~-~'~ITY VALIDATION] MARION COUNTY BUILDING INSPECTION <br />] · ~ - ~'9 , ~J ] COMMUNITY DEVELOPMENT CENTER <br /> R~ce' cdB' 285 Chumh St. NE - R~om 132 <br />]Zoning V~li. datt~on: ~ o__o__o__o__o__o__~I ' 8:0Oam4:a01~m Phone $8g-$147 <br />In~,~. X/'-,,.O I ' · 21Vh?.: lfisp~ctlen LtneaT3-4427 <br /> <br /> . ONE &,TWO FAMILy DWELLING PERMIT APPLICATION <br /> .- , , ' *incl~des electrlcal, mgf~g~~'~ <br /> <br /> ~Ne;wSingleFamllyDweilingWi~Ai~aettedGarage ~'~ J~.PR - ~ ~[~ -- <br /> <br /> ;( ) New SMgl~ Family Dwelling With. Detached Garage <br /> <br /> ( ) New Duplex <br /> <br />2. LOCATION OF INSTALLATION: <br /> <br />b~RlON BOUNTY <br />BUILDINB' INSPECTION <br /> <br /> FOR CITY USE ONLY <br /> <br />Le~ Side: ~'" / Right gide:_r' / <br /> <br />-- ~0~ ~ - ~ <br /> <br />4. FEE SCHEDULE <br /> VALUATION - Based on square footage: <br /> <br /> Building ~ .185per sq fl <br /> <br />Gro~sSqFt~x-- $.12/sqR $ ~ <br /> <br />Permit Fee (A-l) =$ <br />Stat~ Surcharge ($% of A-l) = $ <br /> <br />Dwelling labels must be obtained at Marion County Building Inspection and must be placed at the jobsite prior to Inspect~on for plumbing, electrical and <br />mechanical work. Contact Marion County for instructions. <br /> <br />I hereby certify that the above information is correct. Permits are, non,transferrable and expire if work is not started within 180 days of issuance or if work is suspended for <br /> <br />Signature of Appli~Date: ~ <br />MC 15-80 Rev 1796 ~ ~/ <br /> <br /> <br />