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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> , Senator Building 4~ 225 <br /> <br /> ~lem, O~n 97~1 <br /> R.H. WITHROW, BLDG. ~INISTRATOR ~y: <br /> , ~.5147 -- 5~5148 <br />Date; ~/~/~ S:~ P.M.-~. _CO0~'~'~e ~373 ........... <br /> <br /> ~V~ 99 <br /> <br />Ow~r: ~ ~YD L:",~R~ · ,, Phone: 981 809[ ,~,,', 18848 PA~FIC ~,~F,'/AY NE ~UB~', <br /> <br />Lot No: Bik. No: Sub dy_ <br /> <br />97032 <br /> <br />, Lot Size__~ acre&~orner? ~ <br /> <br />Water Supply: L WELL <br /> <br />.Sewage <br />Disposal: $!E- ~IC <br /> <br />Area of Blclg; ,,,, 14 X,, 70 <br /> <br />Basement; <br />He~tlng <br />System; e].ectrJ.c <br /> <br />BTU: ........ <br /> <br />,~te <br />Evat: <br /> <br />Stories: <br /> <br />Roof <br />Type: <br /> <br />Valuation= <br /> <br />Permit Fee: 35.00 <br /> <br />State Surcharge: <br /> <br />Plans Chk, Fee; .... <br /> <br />Septic Permit Fee: <br />Total Peas:, , 196.40 <br />Rcpt. No; ~/,~ <br /> <br /> build eccord/r~ rct the ~ubmitted p/a~ and ~fflCat~, ~ la~ of ~e $~te Of 0~ and ~e Orldn~ces of M~/on <br /> <br /> to 70t ~2~ ~au~; <br /> a ~/ste~ bul/de~ or ( ) the au~oriz~ r~re~teti~ of a ~J~e~ bu#d=r <br /> <br /> ~fo~/~ ~ on a p~pe~ I O~ ~ ~cupy <br /> <br />REMARKS: The mobile ho~ on <br /> <br /> ' <br /> <br />/ have read this application in its entirety and cottffy that the =tetacl information /~ and correc~ to the best of my' know/edge. <br /> <br /> <br />