MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HIGH STREET NE
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />The work will be performed by a registered bulider,
<br />Other
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<br /> 10CCe~NC~:
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<br /> -~., ' T'~ ~ 60tYRANT LOAD:
<br /> ) ........ IR 97~42 ?E"R]'T ' ,0
<br />[UOE OF BUILDING'. ~NO ~F BEDEOOMS
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<br /> i~)445 H~ZELGREEN RD NE
<br /> PHO~'fE :l 873---424e VAL. UATION~
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<br /> IYPE,- 0N-SITE SEHA~E WA,T, ER SUPPLY: CW \
<br /> .~ ....... TEST HOLES READY: \
<br /> PFRHIT OR APPLICATION NO;/;'~ ~612i7 ~) $II-I~ EVALUATION NUMBI-'F(::
<br /> k .~'"' "- ._.-/ F:XI?IRG 'Y'AI',K S]:Z~:
<br /> MfttfkACl Ok~, I IO. 8.74.) EXISI.EI,IC; DRA.[N ~ ltLD 1..
<br /> .K?vin M Hi.I.I*~ SEPTIC I'A'K :'UMFrED:
<br /> F (J ~:k:,x 465 ' ' ' F'RE¥1OU',~ NO,, ' BEDROOMS;I
<br /> Detroit,, 97.{42--80e0
<br /> FH( NE. 8,,,4:..57,7 ,,,.
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<br /> , TOTAL A~SESSED FEES
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<br /> .,.,
<br /> AFE;.. HdHTE & MARY FISHE'R .[,4VO].~.i: N(:): .' ,,j
<br /> RECE1VED BY: PR ' . =~ -~'Z' :' TYP~
<br /> StE: al'T~C;HED DOCUMENT FaR ,RE~D,2RgH~NTS, 8E.,ON=SITE SEWAGE SYSTEH.
<br /> ....................................................... ,-.,X,- ¢- ,, ~-~,,,,~- ~ ;4~ - ~/~¢ ....... :..~ ........ ;,-,:.-.; .....................................................................
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<br />F,'~LI.,O~,~J:r,~,~U,3T t~E (,OMPI..ETED.,¢':,I,:F."to',:FH~, RE~PON~'~:,B'ILtT~ OF THE APFL. ICANT Y' A,:{$ :~.:' 'FH'~3'
<br />ALL HEC. Fo,~AF~. :i:HF'DRHATION ~.I~D :BEEN ~O~DED,,,', ' , , ' ' "
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<br /> ........ [ ~ ...... .~., CITY JURISDICFI[)N~ I~Y ............. D.. ~. .......
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<br />OFFICE COPY
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