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FJDR CITY VALIDATIONI MARION COUNTY BUI~[)[~IG INSPECTION } FOR CITY USeD ONLY <br /> <br /> · ~ ~-------~----, s,a,,,.o,~tW~~ k~/,.gJ[~'r~,---- . <br /> <br />n.,~. ~_ /~y-.c~.~f' I uhr. n,n~i~,sp&7~on /t~ I II L~si,.: -~ Im.~,s~ ~ <br />....... - .,- , ~ax,~-.~/--£~. '~111t- >'::~1'" <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4~ -~~,w~ a~.-.~ , _~SU/L0(Np' CDUN ~ <br />1. JoB DESC~ION <br /> <br /> )~ldition ~( )Relocation ( )Addition ( )New <br />~"Alteration ( ) Other ( ) Alteration ( ) Sign <br />)Accessory ( )ChangeofOcculmncy ( )Other <br /> <br />2. LOCATION OF INSTALLATION <br /> <br /> 7 <br />3. CON~iCTOR INFORMATION- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br /> (~ I am the PROPERTY OWNER and own, wside in, or will reside in the completed s~ctum and will be my own general oontractcr. I understand that I must n~gist~ as a coastmcii~l <br /> <br />() <br /> <br />4. FEE SCHEDULE <br /> <br />A. <br /> <br />(4) Other ~spec~ions not li~d above <br /> <br />=$ <br /> <br />TOTAL <br /> <br />I hereby certify that the above informa~on is correct. <br />l~nnit~ m non-transferrable and expke if work is not started within 180 days of issuance or if work is susp~ndad for lBO days. <br /> <br />Phone: <br /> <br />Date: <br /> <br /> <br />