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D£Fi'. OF BUILDING INSPECTION <br /> Ma~on Coun~ <br /> <br />~,H. wI~H ROW0 BU~. ADMINI$TflATOR <br /> <br />Address <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />a 5trudure <br /> <br /> No <br />Permit . /'}~ I 1 / 0 <br /> <br />ValUation $ ............... <br /> <br />~ermJt F:ee $ ~ lO' 2~'; .... <br /> <br /> ~ureharge = .- <br /> Septic Tank_., 50-o0 <br /> Total Fee $~yC. <br /> <br />This pern~U cover~ <br /> <br />Lot Bluck ..... Addition , ......... <br />t~t Si~ .... <br /> <br /> Voh)e of onJlre work whe. cornploled, including labor and maletioLs; $ <br /> <br />~wner ....... Address , Phone ....... <br /> ~[Ider & No,~ ......... Address ..... -- Phone .......... <br /> <br />A,¢hllo¢l Addres~ ~ Phone <br /> <br /> DEgCRIi~ON OF WO~K <br />~hi~ gentl¢~n is on VA an~ Social S~urity ~ensiOn because of ~dical ~i~ili~. <br /> <br />Conditional O~ .... Partitioning __ Varianoe i~ase No, <br /> <br />ONtY WORK OESCRIBED ABOVE INCLUDEID IN PERMIT <br /> <br />Zone Cha*ge No ..... <br /> <br />orH£e ~ s~-OU~g_~D RY THi~: DEpARTMEN[; Heating PhJmbtng <br /> <br /> <br />