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DEPT. OF BUILDING INSPECTION <br /> Marion County <br /> <br />R.H WITHROW, BLDG,, ADMINISTRATOR <br />588-5147 <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Apphcalion is mode to <br />Address <br /> <br /> Relocate ~ <br /> Repair Demolish a <br /> <br /> next to: Rt. 1 BOx 435 Aumsvil]e <br /> <br />Block <br />88 ac~s_ <br /> <br /> frame <br /> <br />-- Addition <br /> <br />SiZe of Bldg <br /> <br />Perm it No <br /> <br />Valuations <br /> <br />Surcharge <br /> <br />Total F,ee $ <br /> <br />16 × 20 <br /> <br />Se~vage Disposol -- <br /> <br />residence - one bedroom <br /> <br />Height in feet <br /> <br />to install septic system <br /> <br />Waler Supplyt° drill well <br /> <br />Valu~-~ of enti*o .,orkwhen comp eted Tnclud,n9 labor and moteria $ <br /> <br />Builder & No. Address -- <br /> <br />Architect Address <br /> <br /> DESCR,eT,ON OE WORK <br />site su ,ey- <br /> <br />Phone 749-2234 <br /> <br /> Phone -- <br /> <br />/-¢/_). <br /> <br />Condltlona[ Use __ Partitioning Variance Case No. <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />I c,c~r~e to bu,ld a,-carding to above description plans and specifications and the Building Code-of Marion Coum~ <br /> 'x. ~ppllcont ~ { <br /> <br />APPLICATION RECEIVED <br /> <br />'~Date 9.~23/75 <br /> OTHER PERMITS REQUIRED BY THIS DEPARTMENT;; <br /> <br />~lC TANK <br /> <br />Heating <br /> <br />Plumb,ng <br /> <br />PERMIT ISSUED <br /> <br /> <br />