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DEPT, OF BUILDING INSPECTION <br /> Downtown ~nator Buildi4g <br />AppL f~Vd: *-'q ~ ~ /7 2~CI High St., N,E, ~nd Freer <br /> <br /> R.~, WITHROW, BLDG. ADMINISTRATOR <br /> <br />Date: ~ <br /> <br />Permit No, C;~ <br />By: ~ <br /> <br /> Valu~on: <br /> <br />Dispo~l: _ ,. ~ Stud Permll Fee: <br /> t4o. <br />Area of alOg: Stories; , State Surcharge; <br /> Roof ~ <br />8~ment: ~ Ty~: , .~ Fee: <br /> <br />System: ......... Septic Permi~ Fee: <br />BTU; To~l Fees: <br /> <br />Rcpt, No-' <br /> <br />I agree to bullff ,ICcot'ff/nti to ~he submitted plans ~ ~/fl~tl~$t ~e [a~ of ~e S~ of~O~n and ~e 0~ of Mar/on <br />C~n~_ ~rmit expi~ if ~k pot ~ ~in 1~ da~ ~ <br /> <br />VALIDATIOn: ¢/ <br />ZONING SEPTIC TANK <br />B~ ..... Byl .... <br /> <br /> RE~R~ <br /> <br />PLT-ASE NOTE: Driveway atld Sidewalk irt~pe0tlons ara required by Public Works; <br /> Other permits required by this depl;: PlumbJhg [~ Electrical <br /> <br />NSP£CTioN <br /> <br /> <br />