Laserfiche WebLink
MARIQ1N COUNTY BUILDING INSPECTION <br /> omc FOR Diner. <br />FOR <br /> <br />Zoning Valldatjonr ~_ ~ I ~ S:~ ~4:~ ~-~147 Fm:~ ~'?~ a~r: la~ <br /> - ' ' ] ~ F~-7948 <br /> MANU~~TURE PLACEMENT <br /> CO~LE~ ALL SEC~ONS, ~ T~OUOH 4 ...... ~A~PLICATION <br /> <br />L Job ~ch ~on BUILDING INSPECTION Q~ ~l q~ <br /> <br />Resi0entlal( 1~ New( ~ ...... Rcrplacemmt( ) ' ' Garage or Carport <br /> ( )Attached <br />Commer~l( ) New( ) Replacement( ) ( ) Detached <br /> <br />Manufacturex's Year of Color of L~mgth: W~dth: <br /> <br />2. Location <br /> <br /> ~,'~.~z, d~,. q..7~ s~,~No. ' ............... <br />Sabdivision ~ I gl~k Urb~ Growth Bounda~? <br /> <br />Scion ~,~,, to~p ~' ~nge ~ ]Zme ~q Map Wa~rSu~ly; <br />L~Wldth ff~-/ ~Dem ~t/ , Acres Imeg,~t ~¢~ Comer~, PrivateWeg ( ) Sp~g ( ) <br /> ........... CommunltyWeg( ) Csy ~ <br /> <br />3. Contractor In£ormation <br /> <br />( ) I own, ~aide in. or will re*ide in th~ ¢ornplet~l structure, <br /> <br />( ) I understand that ~[ must regis~r as a constmcffon contractor if tha stm~mm is sold or offered for sale before or upon ¢omplet[om <br /> <br />( ) I w~ll be my own gmeral *omra~nor. <br /> <br />( '"ffI am a tegiztered buJ!def OR the authofifed_..-.nr.epmsentatiw of a registered b~ild~r, <br />Authorized ag~r le~: /~- ~' ~ M~llng ~_~s · ' ..... r Obone, <br /> <br />A. (1) Manufactured Home <br />or Modular Unit Place~nen~Conneet[oa @ <br />(2) Stat~ Fee @ 20.00 = ,-'.'.'.'.'.'.'.'.'~' <br /> @ gao :,/~.,~.~ <br />(3) State Surcharge @ ,14~';~ <br /> <br />B, (1) Mfg.'d Sumctot~ $[orage Fee <br />(2) ~g.'d S~ctu~ S~ge Renew~ ~ 25,~ ~ ~ <br />(3) ~ng Surcha~e (15.~ if app~eabB) ~ 15.~ = ~ <br /> <br />C, Additional Inspection (~. $60.00 :-~ <br /> or Reinspection <br /> <br />D, InvesfigafionFee <br /> <br />E. Othgr insl~ctions not lJ. sted <br /> @ 40,00 per hour (2 hour minimum) <br /> <br />I hereby cerlify that the above information is correct and that I have read and under~tand [he Information Notice to Properly Owners about Cc~lstruction Responsibilities <br /> <br /> MC 15,64 Rev I1-91 <br /> <br /> <br />