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APPLICATION <br /> <br /> DEPT, OF BUILDING INSPECTION Permll No, <br /> Marion CounW <br /> <br />W, K, GRABER, BLDG. ADMINISTRATOR Valuation <br />3644401 Ext. 55, Courthouse <br /> Permit Fee <br /> <br /> FOR BU~LmNG <br /> <br /> Erect <br /> Relocate <br />Application is made to Alter Demolish o <br /> Repair <br /> <br />Lot ~ Block / Addition <br /> <br /> Const rtJc:fJon <br /> <br />Number of Stories <br /> <br />Sewage Disposal <br /> <br />Bvilding <br />Structure <br /> <br />Size of Bldg, <br /> <br />This permit covers <br /> <br />Basement <br /> <br />Construction <br /> <br />Height in feet ...................................... <br /> <br /> Value of entire work wl~en completed, including labor and materials: s <br />~ ; I~ --' ~,' 7;,' Add r~., . <br /> <br />Water Supply ~ /r "7~:~, <br /> <br />Phone <br /> <br />Architect Address Phone __ <br /> <br />DESCRIPTION OF WORK <br /> ........ <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />agree to build occordlng to:) above description, plans and spedficot,lons and the Building Code of Morion County. <br /> <br />I ' APPLICATION RECEIVED <br /> ,. <br /> <br />¢9/CTA,NK <br /> t A,~roved <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: Heotlng <br /> <br /> P~N. EXAMI~iI~R PERMIT ISSUED <br /> Approved <br />~ ~:¢., ), " ~ a~_a ..... <br />Date -,-,J'~/y~'''~ Dine ~/.~%* <br />Plumbing <br /> <br /> <br />