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Zon0__~/, ~ DEPT, OF BUILDING INSPECTION <br />Fir'*'! Zor~e -. C~ Marion County <br /> ' , 0 . APPLICAT ON FOR BUILDING PERMIT <br /> <br /> Inss of Building <br /> <br />Pe rrTdJ No. <br /> <br />Valuallon s . <br /> <br />PermH Fee S 3.OO <br /> <br />Septic Tank __.~].0, OD <br /> <br />Tala1 Fee ~* '1~___o ©0 <br /> <br />Alter Relocate Building This permit covers E×c:uvofion <br /> Demolish a Structure Consh'uction <br />Repair <br /> <br />Address -- ~t. 2.~ .... Moo~k~ ~'~. Auro~~ .......... <br /> <br />Lot 14 Block- 1 -- Addition ~u~¢~ ~aven <br /> <br /> tot Size ~80 x 1OO Size of Bldg. 1~ ~, ~ <br /> <br />Const ruction <br /> <br />Number of Stories -- <br /> <br />Basement Height in feet <br /> <br />Sewage Disposul <br /> <br />mobile home 2 bedrooms <br /> <br />septic <br /> <br />Water .Supply w ~_._~ <br /> <br /> Vufuo of entire work when copqpieled, fncbdiflg labor and materials: <br />;i,~wrlor C~ement C. Hendrickson Address <br /> <br /> Budder-. Address <br /> <br />Phone <br /> <br />Archiw~ct -- Address Phone __ <br /> <br /> DESCRIPTIOI~ OF WORK <br /> <br /> ...... <br /> <br />"W. K. GRABER, BLDG. ADMR., 364.4401 EXT. 55, COURT HOUSE <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />Zone Clnange No. <br /> <br />Variance Case No. <br /> <br />UgT¢,C, Io build according to above description, plans and specifications and the Building Code of Marion Courlty. <br /> <br /> APPLICATION RECEIVED ~ SEPTIC TANK <br /> i <br /> oR /By ~ <br /> <br />OTHER PERMITS R~QUIRE~ BY ~HIS DEPARTMENT: HeQHng <br /> <br />Applicant <br /> <br /> PLAN EXAMINER <br /> Approved- <br /> <br />Dote ~.- / / <br /> <br />PI urn bing <br /> <br />PERMIT ISSUED "t <br /> <br /> <br />