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FOR CIT,Y VALIDATION] MARION COUNTY BUILDING INSPECTION <br /> <br />Zoning Validation: __~1~ s:~lpm Phone ~8~147 <br /> <br /> ~ARI~~ PERMIT APPLICATION <br /> <br /> FOR CITY USE ONLY <br /> <br />[Left Skte: IRight Side: ~ / <br /> <br />1. JOB DESCRIPTION <br /> <br /> RESIDENTIAL COMMERCIAL Use of Stmetm'e: I I <br /> ( ) Addition ( ) Relocation ( ) Addition ( ) New ~ <br /> ( ) Alteration ( ) Other ( ) Alteration ( ) Sign /,~ ~ 2~,5'" <br /> ~'J/Accesaory ( ) Change of Occupancy ( ) Other <br /> <br />Energy Path: Em I ~ i j No, Redrooms: <br />Sqmae F~utg¢ -B aacmem,. ..... Iii~,n Fthor: I ~o~d~l~oy: I ~a.g,: XO0 ..... Ii I Il i II;~h~; I ~ight; /~ , <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />.......... Pfivat* Well ( ) Spring <br /> <br />3. CONTRACTOR INFORMATION ~ PLEASE INDICATE WHO IS DOING THE WORK <br /> () <br /> <br /> ( ) <br /> Name <br /> <br /> Ma~l{ng Addrcaa Phone <br /> <br />4, FEE SCHEDULE <br /> <br />A. <br /> <br />VALUATION (See "Valuation Schedule" to d~t ~tml,~* valuation ba~ed <br /> <br />on sqoav: footage of pmj~t,) Valuation: $ ~ <br />(2) 5% g~te Sumh~ge (.05 x Al) ~* ~ <br /> <br />(1) Addhlonal Hah Reviews or Addendumg <br /> <br />(2) Inv~tigafion Fee <br /> <br />(3) Reinsp~etlon l~g¢ @ $25,00 <br /> <br />=$ <br /> <br />Permits are non-transferrable and expire if work is not started w~thin IS0 days of issuance or if work is suspended for 180 days. <br /> <br /> <br />