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fon~R~\ 15-8-2W 82.5 <br /> <br />Budding ..... ~--~' <br />Building ,-~ <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Mariofl County <br /> <br />RH, WITHROW, BLDG, ADMINISTRATOR <br />558-5147,, Courthous~ <br /> <br />APPLICATION FOR BUILDING <br /> <br />Apph¢cmc)n is mode to Alter <br /> Repmr <br /> <br />Addrr-.ss <br /> <br />Relocate BuiJding <br />Demohsh o Structure <br /> <br />7015 Aumsville Hwy SE <br /> <br /> Permit No. <br /> Valuation $ <br /> Permit Fee $ <br /> <br />PERMIT Surcharge ....... <br /> Septic Tank <br /> Total Fee $ <br /> <br />Lot Block Addition <br /> <br />L'~t Si~e 4.84 acre:s <br /> <br />Si7e of Bldf~ <br /> <br />mobile home <br /> <br />residence - 2 bedrooms <br />to install sep%ic tank <br /> <br />Woter Suppl~ _____tO drill well <br /> <br /> Dermis Folsom <br /> <br />Builder & No. same <br /> <br />Add,ess ~736 Jose~ St. SE <br /> <br />Address ~/'v~l/'/,[ ,,4~ /~ i ~,~ <br />Add r~ss .... <br /> <br />DESCRIPTION OF WORK <br /> <br /> 362-2419 <br />Phone .... <br /> <br />home and_~L~l_ _ ~ ep t ic_~_a_Qk <br /> <br />Phone <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT:: Heating Plumbing <br /> <br /> <br />