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MARION COUNTY BUILDING INSPECTION ~OR OFFICE,,,,usF. ONLY <br /> 220 High Street ~ <br /> <br /> 8:~ - 4:g m ~e 7 L~¢' ' .... ~ght Side: <br /> F~ 588-7948 <br /> <br /> BUiLDING PERMIT APPLIC~]~qCOUNiy <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 I~U~LDING INSPECTION <br />L Job Deserlption <br /> <br />2. Loeatlon oflngtallation ~//'t/~r7$~: fi%e: qTJcqf <br /> <br /> Contractor Information <br /> <br /> ) I om. msid~ ~, ~ will ~side ~ ~e ~mple~ stmaum <br /> <br /> ) I unde~und ~at I must reDs~t as a ¢mstmcfim c~tmctor ff ~e stm~am is sold or offumd for sale beforu or u~n ~plefim. <br />(~I wffi be my own g~eml ¢ontm~on <br /> <br />If I hi~ subcontractors i will hire only subcomraetora registered With the Con~tmetlon Contractors [lc,aM. 1~ I change my mind and do kite a general contractor, I will Contract <br />with a contractor who ~ reglstered w~the Construction Contmeto? Board, and willimmediately noilly Marion County of the name of tee contractor. <br /> <br /> ( ) I am a registered builder OR the auth~riJ~ed representative iof a r~gist~d builder, <br />Archltectname: ~7.~ ~.~'~.~__~-' [MailingAddm~s: ,[,Phone: <br /> <br />4. Fee Schedule <br /> <br />A. VALUATION (See "Valuation Schedule" <br /> to determine valuation ba~ed on <br /> squam footage,) <br /> (1) Permit Fee <br /> (2) 5% Stat~ Sumha~e (.0:5 X Al) <br /> (3) Smlcmral Finn Revie-~(.65% x Al) <br /> <br /> (fi) Z<~lug Surcharge, if applicable (,05% x A I ) <br /> <br />B, Misee2flaneoas Fees <br /> (1) Driveway w/curb@ $7.50 <br /> <br /> (2) Driveway w/o curb @ $17.00 <br /> <br /> (~) Site Plan Review (commercial only) @ $79,00 <br /> <br /> (4) Additional Plan Reviews or Addendams <br /> <br /> (5) Investigation Fee <br /> <br /> (6) Relmpection Fee @ <br /> <br /> (7) Other In~pecfion~ not llsmd above <br /> .mr:, ,,, ¥7 f <br /> <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />