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~" MARION COUNTY BUILDING INSPECTION <br /> ~ SENATOR i~LDG, NO. 225 <br /> 2R0 HIGH STREET NE <br /> <br /> I ~ave rea~ ae~ agree t~the ~er~ ~tat~n the r~ve~e <br /> <br />, DETROIT QR q7~42 I)ETROIT <br />' · .................. ~ ...... · ......... <br /> <br /> PHONE: 65&-29~9 ~ VALUATION= <br /> <br />TYPE~ 0N-SITE <br /> <br />PERHZT OR APPLICATION <br /> <br />KBV~N'~ BA~KNO~ <br />Po ~OX 46S <br /> <br />WATER SUPPLY: OW <br />TEST HOLES READY: <br />SITE EVALUATION NUMDER: <br />EXISTIN~ TANK SIZE: <br />EX~STIN~ ~RAIfl FIEL~ LINES: <br /> <br />FREV~OU$ NO. ~EDROOflS: <br /> <br />DETROIT~ <br /> <br /> b. <br />PAYEE. <br /> <br />* THIS I~ ?OT A PE~T.,:~.~TN~..'z~Z~gT~ON;"N~"'~ TH~U~ fl REVIEa PROCESS ~HERE THE <br /> <br />~u* uc.~*,ev. *~ OFFICE COP/ <br /> <br /> <br />