Laserfiche WebLink
FUR CITY VALIDATION <br />Received By: ddt<. <br />~oning Validation: ;J~ <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />MARION COUNTY BUILDING iNSPECTION <br />COMMUKf~ IYi~ CENTER <br /> <br /> 24 ~a ~pe~qa Line 588-79~ ';'~', ,', ~ <br /> <br /> BUILD~G PE~P~TION <br /> BUIL~NS <br /> <br />FOR CITY USE ONLY <br /> <br />I, JOB DESCRIPTION <br /> <br />RESIDENTIAL COMMERCIAL <br />( ) Addition ( ) Relocation ( ) Addition ( ) New <br />( ) Altemtlon ( ~ther ( ) Al~mtion ( ) Sign <br />D,,cription ofWotk ~ * ~ / <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4, FEE SCHEDULE <br /> <br />( l ) Penrdt Pea <br /> <br />(2) 5% State Sureharg~ 605 x Al) <br />(3) StrUCtural Plan Ravl~w (,65~ x Al) <br /> <br />(5) Zoning Suvuharg~, ff applleabl* (.05% x Al) <br /> <br />Rl~CEIFr: <br /> <br />TOTAL =$ <br /> <br />I hereby certify that the above information is correct, <br />Permits an* ~on-transfcrrabl¢ and expire if work is not startefl within lg0 days of issuance or if work is suspended for 180 days, <br /> <br />g~gnature of A~p cant; '~~ ___Date: <br />MC 15-73 Rev 1/95 <br /> <br /> <br />