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Fire Zone -- <br /> <br /> Type of Building <br />'~IClo,s of Building <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> Marion eau n'~/ <br /> <br />W. K. GRABER, BLDG, ADMINISTRATOR <br /> 364~4401 Ext. 55, Courthouse <br /> <br />3500.00 <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Valuation S <br /> <br /> 18.00 <br />Permit Fee s <br /> <br />Beptic Tank <br /> 18 o00 <br />Total Fee s <br /> [.?/,/~_z___ <br /> <br />Application is mode to Alter Relocate <br /> Demolish o __ <br /> Repair <br /> <br /> Rt 1 Box 492, Aumsville <br />Address <br /> <br />This permit covers <br /> <br />Lot Block Addition <br /> <br />Size of Bldg. <br /> <br />16 X 20 addition <br /> <br />Number of Stories .............................. Basement <br /> <br />Height in feet ............................... <br /> <br />Occupancy or use livinq room addition <br /> <br />Sewoge Disposal <br /> <br />Water Supply <br /> <br /> Value of entire work when completed, includin9 labor and materials: <br /> <br /> Patrick Benjamin <br />,~l~.Own e r Address <br /> <br /> Buildu, Address <br /> Arcbitecl .... ess <br /> <br />Phone <br /> <br />Phone <br /> <br />363-1343 <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />,~gree Io build according to above <br /> APPLICATION RECEIVED <br /> <br />L,o,o ~(6(7~: .... <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: <br /> <br /> description, plans and speciflcat.ions and <br /> Applicant <br /> <br /> SEPTIC TANK <br /> Approved Not Approved <br /> <br />By <br /> <br /> Dote <br /> <br />Zone Change No... <br /> <br />Variance Case No __ <br /> <br />~ Plumblng <br /> <br /> PERMIT ISSUED <br /> <br />Date ,/~-' <br /> <br /> <br />