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MARION*COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Chu~g St. NE - Room 132 <br /> Satem, ~r~on ~30 t <br /> 8:0~m-4:30~m Phone 5~-$147 <br /> ~ hr, l~on Line $8B-79~ <br /> FAX 558-79~ <br /> <br /> BUILDING PEgMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH <br />I. JOB DESCRIPTION <br /> <br />RESIDENTIAL <br /><, ) Adcfitlon ( ) R~lcz<atlon <br />( ) Alteration ( ) Other <br />(~) Acce~:sory <br /> <br />FO~R CIT~Y USE~ONL_Y <br /> <br />{L~ftSkl¢; ~ t' RightSid¢' * <br /> <br />COMMERCIAL <br /> ( ) Addi~ol~ <br /> <br /> ( ) Alteration <br /> <br /> ( ) Change of Occupancy <br /> <br />Path: } No. Stocias <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />}~o, of 5mployeea: Ex; ;ting - <br /> <br />(~) New <br />( ) Sign <br /> <br />( ) Other <br /> <br />ab'x 9-0' CrC< F0 <br /> <br /> / <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE V~HO IS DOING THE WORK <br /> <br />~hon~ ~./(~{ __/7 q c{ <br /> <br />=$ <br /> <br />I heroby certify tbat the above information is correct, <br />Permits am non4ranaf~trable and expire if work is not started within 180 days of iasuaa¢¢ or if work is suspended for 180 d&y~. <br /> <br /> <br />