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Tyge of Building <br />,~'ll:ss of Building <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Marion County <br /> <br />W. K. GRABER, SLDG. ADMINISTRATOR <br />588-5147. Cout ~;house <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Valuation $ -- <br /> <br /> 10 o00 <br />Permft Fee !~ <br /> <br />Septic Tank <br /> <br />Erect <br />Alter <br />Repair <br /> <br />Relocate Building <br />Demolish o Structure <br /> <br />This permit covers <br /> <br />Address Rte 2; BD-'4;...,Z0~, <br /> <br /> Block <br /> <br /> ~x~x~ ' 5~x 110' <br />Lei Size <br /> <br />Addition <br /> <br />Construction <br /> <br />mobile home <br /> <br /> 12 x 44 <br />Size of Bldg. <br /> <br />1 bedroom <br /> <br />Number of Stories <br /> <br /> mobile home <br /> <br /> existing septic <br />Sewage Disposal <br /> <br />Water Supply <br /> <br />Height in feet <br /> <br />Value of enllre work when completed, including labor ond materials: <br /> <br /> Robert ~. Joslin <br />Owrw3r Address <br /> <br /> 678-1468 <br />Phone ............... <br /> <br />Address <br /> <br />ArchHucl ..... Address Phone -- <br /> <br />DESCRIPTION OF <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />ng,'ee to build iicc.llrdh~9 to above doscr'iplion, plans and specificot.ions o,nd~e Building Code of Mor'ior~/~ounty. <br /> <br /> APPLICATION RECEIVED J SEPTIC TANK <br /> rep <br /> <br /> 12 He.ch ?3 <br /> <br /> Approved-Nor Ap )roved <br /> <br /> I/y By <br /> <br /> Dote <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: <br /> <br /> XA ~ PERMIT ISSUED <br />Dq .... .. Dote- ?/// ./ ...... <br /> <br />Hooting Plumbing <br /> <br /> <br />