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MARION COUNTY BUILDING INSPECTION <br /> <br /> 8:00 am-4:$( <br /> Coda-A4 <br /> FA~ <br /> MANUFACTURED Sq <br /> PERMIT <br />COMPLETE ALL SECTIONS, 1 TIIROUGH 4 <br /> <br />I. fob Description <br /> <br />Commercial( ) New( ) <br />ManMa~umfs <br /> <br />Tyl~ of Siding: <br /> <br />,m Phorm 588-5147 <br />hon~ 588-7904 <br />588-7948 <br />'RUCTURE PLACEMENT <br />,PPLICATION <br /> <br /> Rop~cem~ ) <br /> ~p~cam~K ) <br /> <br />2, Location of Installation <br /> <br />Property Owner <br />$obAddmss <br /> <br />SuOdivision <br /> <br />Mobile Ilome Park <br /> <br />Lot Widdi <br /> <br />3, Contractor Information <br />Property Owner .~O.~ t :0 ~ <br />( ) I own. r~slde L'b or wffi gside <br />(~) I under.nd ~at I ~st g~sgr <br /> <br />Rang~ /0.) Map <br />Acres Irreg. Lot Comer <br /> <br />If I hjln¢ ~ubeontractors, I will him only subcontractors mgi~ten:d with the Ccc <br />If i change my mind and do hire a general contractor, I will COAti'act with a <br /> <br />sold or offered for sale begom or upon eomplctlon. <br /> <br />a'aaion Contractors Board, <br /> <br />::actor who is r~gls~ev~l wim tho Constmetlon Contractor's Board, and will <br /> <br />immediately notify lVlarion Coanty of thc name of thc e.~ntraotor. <br /> <br />(~) I am a ~gist~rM budder OR ~ au~ofi~d ~p~s~6w of a ~gisa~d b~d~, <br /> <br />4. Fee Schedule <br /> <br />A, (1) Manufacturcxl Home <br /> or Modular Unit Place~nenffC~meetion <br /> <br /> (2) State Fee <br /> <br /> (3) Sram $urcha~a <br /> <br />B. (I) Mfg.'dStmcmmSm=gcFec <br /> <br />@ 2500~., <br />@ 15.00-- <br /> <br />@ $60.00 <br /> <br />C, Additional Inspection <br /> or Relnspecdon <br /> <br />D, Investigation <br /> <br />E, Otherinspe.~tions not listed <br /> @ 40.00 per hour (2 hoar mlnimmn) <br /> <br />@ $40,00 <br /> <br />TOTAL-- <br /> <br />/ b¢i'eby certify that the above mformauon xs correct and that I hav~ t~ad and und~ ts~*~nd thc Information Notice to Property Owners about Consmlcfion Responsibilitle~ <br />on the reverse side of this form. <br /> <br /> MC 13-64 Re~ 11-91 <br /> <br />REC~PT: ~ <br /> <br /> <br />