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~.- ............................... ] MARION COUNTY ~ILDING INSPECTION ~ .......................................................... <br />.mgcrrY~S~O~LY ..... I co~ O~O~'C~g ~ FOR ~ USE ONLY <br /> <br />L ................................ ~ ' °'~' ~' ~7' ~J I.~ '~1~ ~ ~ ~ ~: J~L <br /> <br /> ~New ~ Aee¢~ ) Ad~dum ( )New ( )M~ ( )~mgcof~orU~ <br /> <br /> ( )~ <br /> ~on of w~: U~ of ~: ~:~ ~ ffu~: <br /> <br /> Squat Forge: ~ment: I,, Floor: ~ ~ ~: ~: No. ~s: / U~: :: : ~ Heine <br /> <br />~Mohile Hr, me Pa:k ( )Mobiie Home ~bdivi~ion Space#: <br /> I ' <br /> <br />· -~" - ' - c~:'t ' ~i,.q : <br /> <br />() <br /> <br />4. FEES <br /> <br /> A. VA]LUATION (~ Valu~tiou Schedule to d~4~_tN: valuation <br /> basedonsqum'efootage0ftheprojeet) $ ~ ,~/g9 <br /> <br /> (2) Slale Surc. l~rg e~o x Al) ~). 7P <br /> (3) Str~tmml Plan R6.view (65% x Al) ~- ~ <br /> (4) F~ ~d Life 8af~yyl~ ~i~ (4~/0 x AIl <br /> (6)S~ic 8m'c~e. if ~lid~le ( 1% x A 1 ) ff~ <br /> <br />I hereby certify that the above infonuation is correct. Permits are uon-tranffetmblc {iud expire ifwo? is not started within 180 days of itk~mce or:ifs <br />susp4mdeA for 180 days. <br /> <br /> NOTICE <br /> EFFECTIVE 7-1-99 <br />STATE SURCHARGE CHANGE <br />FROM 5% TO 7% <br /> <br /> <br />