Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NI~'} <br /> <br /> 8:OOam - 4:30pm Phone 588~ l'Vg <br /> Code-A-Phor~ 5g$-7904 ~ <br /> <br /> BUILDING PERMIT APPLICi~-~h[ON <br /> sun COUNTY <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 BUILDING INSPECTION <br />I. Job Description <br /> <br />( )Addition ( )Relocation (~Addilion ( )Sign <br />( ) Almrafion ( ) Demolition ( ) Alteration ( ) Demolition <br />( )Accesso~ ( )Other ( )ChengcofOccupanpy ( )Other <br /> <br />2. Locationoflnstallation ,4am2Vl// /27~ q 7o>'~4.5- <br /> <br />Mobile Home Pa~ Space # <br /> pdvatcWclt ( ) Spring <br />LotWidm /7.5-. g' botDepth~l~ Acres l~eg,~t~ Comer ~/~ CommunbyWcl]( ) Cily <br /> <br />Contractor rlusinesa name & #: I Mailing Address: ( ) I am a mgismrod builder OR thc atlthofized representative of a registered builder. <br /> <br />4, l*ee Schedule <br />h. VALUATION (See "Valuation Schedule" <br /> <br /> equate <br /> <br /> (2) 5% State gurcba~¢ (.05 ~ Al) <br /> <br /> (3) Stmatural Plal~ Review (,~% x Al) <br /> <br /> (4) Fire & Li~e Safety Pbm Review'(,40% x Al) <br /> <br />,, <br /> <br />B, Mi~¢elhneous Fees <br />(1) Driveway w/curb @ $7.50 = __. <br />(2) Driveway w/o curb@ SIT(X) = -- .... <br />O) Si~e Plan Review (commercial ~mly) (~ $79.~ = ~_, <br />(4) Add/fioaal Plan Reviews orAdd~dum~ <br />(5) hwcsfiga6~ Fee = __ ...... <br />(6) Reins~eilon Fee ~3 <br /> <br />RECEIFF:. <br /> <br />TeYlXI, $_ . .5 <br /> <br />I homby corC~f'y that tile above in/otnlation is correct laid that I have read and undpr~tand the In fonnatic~ Notice to property Owners tthOUl ConstrucIRm Responsibilities on the <br />revg~'~e ilde tff thN kmn, <br /> <br />MC 15-73 Rev, 11/91 <br /> <br /> <br />