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3-353-P{/ <br /> <br />Date; .... July_ g~ 198~ <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING IN~PECTION <br /> S~nato~' Building # 225 <br /> 220 High S~., N.E. ~d Flor <br /> <br />P.M,. ......... COOE-A.PH~e ~-5373 <br /> <br />Permit No. ~ <br /> <br />I~¥: ,. P~ ~-L~ . <br />Date[ 7-24-8¢ <br /> <br />Type of Permit: ~.te E~'.~lU~,~;foA <br /> <br />Address: 1086~S~ei~amP l~oad, ,~.~E. _Au~vi. lle <br /> <br />~ldr. & No,: <br /> <br />Ptans b_y: <br /> <br />L~ N~,~, Blk, No.: Sub dy. <br />.~e~ ¢~ Bldg, 2nd Base- Tekd <br /> <br /> == L~t Size ........ Come¢?L <br /> <br /> .,. Truss~StiCk: - Fee: ( + 5%) <br />Wood Water <br /> <br /> ,.,~ I~tal,: ....... Mech. Fee: <br /> Gals. .... Plumb. F~: ..... · <br /> <br />State <br />Surch(a'ge~ <br /> <br />Plans Chk, Fee~ <br />Septic Tank <br />Permit Fe~- <br /> <br />DEQ Surc~e~ <br /> <br />TOTAL FEE~ <br /> <br />Heating <br />5y~-n~ ...... <br />Sep/ic 'lank <br />Site Eval: .... <br />Extsf, <br /> <br />VALiDAtIONS: <br />Z~,g, M~chonicaL <br /> <br />Septic Tank* //~/ ~-~ <br /> <br />of ~on end th* O~i~n~s <br />~in ~80 da~- I ~Hhe~ <br />701,~5 ~ 701.125 <br />( ) I am ~g ~ ~ a ~r~r~ I own or ~cupy <br />( ) I am a ~g~ b~l~ <br /> <br />The wark will be perfoem~,d by a mgilfered builder <br />Other (piea*e ,~c~/) <br /> <br />REMARKS:~-- <br /> <br />SIGNATURE OF' A, PPLiCAN'~ <br /> PLEASE NOTE: DriveWay and sidewalk inspections are r~;r~ bv Pu~ic WOrks: ~-~ <br /> <br /> Other permits r~Uir~ by this de~: Plumbi~ <br /> <br /> <br />