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Type of Building <br /> <br />Class of Building <br /> <br /> 6reef <br />Application is made to Alter <br /> Repair <br /> <br />.o,!7 __ ..ac. ..... <br /> <br />Number of Stories <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Marion County <br /> <br />W, K. GRABER, BLDG- ADMINISTRATOR <br />3644401 Ext, 55, Courthouse <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br /> Relocate Building <br /> Demolish a Structure <br /> <br />Addition <br /> <br />Permit No. <br />Valuation s <br />Permit Fee <br />Septic Tank <br />Total Fee s <br /> <br />This permit covers <br /> <br />Size of Bldg, <br /> <br />Basement Height in feet <br /> <br />Occupancy or use /~ <br /> <br />Water Supply <br /> <br />Value of entire work when completed, including lobar and materials: $ "~'/'~"~ ' ~/~ ; <br /> <br />Architect Address Phone <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />Zone Change No, <br /> <br />Variance Case Nc,. <br /> <br />agree to build according to above description, plans and specificatJons and the Building Code of <br /> <br />APPLICATION RECEIVED <br /> <br />Dot~ ?' I?- ?~ <br /> <br />5EFqlC TANK <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT; Heating <br /> <br /> PLAN EXAMINER <br />By~ Not Approved <br /> <br />Plumbin9 <br /> <br />Lr ion County. <br /> <br /> PERMIT ISSUED <br />By ..~ ~ <br />Da,e /~//~./?-~ <br /> <br /> <br />