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· Date: ........ <br /> <br />Type of Permit: <br /> <br /> NIARION COUNTY <br />DEPT. OF BUILDING INSPECTION= <br />Downtown Senator Building <br />220 High St, N.E. 2nd Floor <br /> <br />R.~. WITHROW, BLDG. ADMINISTRATOR <br /> 588.5147 -- 588-5148 <br /> <br />Phone; 9~"'~,"Z~,$5~1~ Address: <br />Phone: ~/Address: <br /> <br />Lot No BIk, No:. Sub dy. <br /> <br /> A~dre~?. <br /> <br />· M"'~n Rm:~. Front .s Rear <br /> <br />Water Supply! well <br /> <br />Valuation; ..... <br /> <br />Permit Fee:., <br /> <br />Sta~e Surcharge: <br /> <br />Plans Chk. Fee; <br /> <br />Septic Permk Fee; <br /> <br />Sewage Feas. 9- 76- 7 <br />Disposal; "Se P t'~ '~ ........ Study! <br /> <br /> No, <br />Area of BId~; ,_~',o0 $_. ftt~torie~; l <br /> Roof <br /> <br />Svs~m: ,~l~CLric furn~ :ca or h~,~t p~,:p <br /> <br />Lot Size 1 ~cr .Corner? no <br /> <br />BTU: <br /> <br />~ ~0~000.03 <br /> <br />37.50 <br /> <br />Total Fees: <br /> <br />PLEASE NOTE: Driveway anti sidewalk inspections are required by Public Works: 588-5030 <br />Other I:~rm~ts requi~ed by this dept; Plumbing ~] F-lectdcat [] <br /> <br /> <br />