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~v~d ey ., ,,v~.~ MARION COUNTY BUILDING INSPECTION c~ <br /> <br />, Z~ V~lon , ~ High ~ ~ <br /> ~ ~~ <br /> <br />BUILDING HOME [] <br /> .... SEPtiC [] <br /> <br />PERMIT APPLICATION <br /> <br />Pleet .~C zone <br /> <br />Block: <br /> <br />Architect/Engineer, ~/~./ <br /> <br />P~e: <br /> <br />Address <br /> <br />Height of ~ilding: / NO Stofie.a; <br /> <br />IW~,ile Home Mobi~ Hc~e <br />Width: <br /> <br />JSq. Ft_ Main FlOOr' I Scl. <br /> <br /> Prev~oq? Site I~luation <br /> Type .of System: <br /> Te~t Holes Re~a:ly <br />Will call when hole~ ready; <br />Exi~ ~,~ SW~m' <br />. Existing Tar~ ~ize: <br /> <br /> Existin[ _Drainfieid LenCh: <br /> <br /> Date Tank Pumped: ~[,/r~¢/"~:'~ Existing Bedrc. ca'l'~. <br /> <br />OTHI:;R pBtMff~ RE,U~IE/Dd/~ ,I~S DEPI: pU.I~BI~ <br /> <br />Ur, e o~ Bulldl 'r~ <br /> <br />~ Ft Garage <br />Occupant Load <br /> <br />VNuatio~- <br /> <br />Bldg_ Fee <br /> <br />M~ile Home Fee <br />Fleet Surcharge: <br />Zoning Surcharge: <br />State Surcharge: <br />Plans Check Fee- <br />Site Evaluation Fee <br /> <br />Sept~ ~m~ Fee. <br /> <br />DEQ Surcharge. <br />T~ioal Review Fee <br />Relnspection Fee- <br />Investigation Fee: <br />City Fee <br /> <br />TOTAL. FEE: <br />RECEIPT NO.: <br /> <br />RES ~ <br />COM U <br /> <br /> <br />