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-F-~R CITY USE O---~Y I MARION COUNTY BUILDING INSPECTION <br /> COMl~go2,tt'~ 1D~LOPMFAqT CENTI~, <br /> - ~m 132 <br /> Validation: _ _ 8:~:~m ~ S~147 <br /> <br /> SITE EVALUA~ON A~/OR SE~C PE~ ApPLICATiON <br /> LOCATION OF ~STALLATION ~ ~ ~ ~., O~. ,~7~,~,~, <br /> <br />S:*tio.g 9-- ~ - <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />** ?eeo nclud~ Olio Surcharge ' ' ' <br />Sk~ Ewlumlo~. ~Inglo Family Dwdling, fi~ ot ............................................................................. <br /> <br />Si~ Ev~lu~tio~ Com~i~. first I~0 ~llom ................................... <br />S~a~ ~valua~on, Co~i~ 1~ - 5~ g~B~t. .............................. :-,: ..,; .................................................... <br /> ......... ' ........ 3~ <br /> <br />Co~s~cfion Permit or Commc~ Major ~palr. f~t { ~ g~lo~: '. <br /> <br /> Av~i~ System ........................................................ , ............................................................... ~'~ <br /> Cess~l ................................................................... ~ ......................................................................... 587.~ <br /> Dis~s~ T~ i~ Sapmlfie ............~ ...................... < ................ : ................................................. L.,,,,.387.~ <br /> ~va~i~J on-Abs~iou <br /> <br /> ....... <br /> ~m~Su~ ~z~buQon Sya~m ........................................................................................................ <br /> ~e~t Sys~ .................................................. ,, ...................................................................... <br /> , ....... - · 7~ <br /> <br /> 3~ge T~uch ....................... :.,.,,,., ......................... ~,,,, ..................... L .............................................. ~7.~ <br /> Steep Slopo ............................................................... <br /> Tila Dawa~n$ $ystam ........................................... <br />~;~ ~uct ~n Pe~t Or Commie ~ ~r, o~r <br /> :. .... CO~ti~P~itPce <br />Comm~c~J Plan Review <br /> 600'~Das - 10~ gallons ..................................... <br /> I~ gali~s - 5~ gallons ..................................... <br />Coa~cial Mi~ Roper .............................................................. '.,..,.......] ............................................................ ~7~.~ <br />Stogie FamaIy Dwelling Minor ~p=r (~ ~ly) ......................................................................................................... 135.~ <br />$1ngle Family DweIllng, M~or Rebalr (dr~nfieM) .............................. ~ ............ ~ ............................................................ 215.~ <br /> <br /> A ~tat On8 ................................................................................................................................... 38~.~ <br /> Pc~ t ~new~l, o ~cld Vz~ ......................................................................................................... <br /> <br /> Autho~za~o~, No ~ld Vi{it .................................. ; ......................................................................... 1~.~ <br /> ~xJ~fl~g ~ys~em Evalaafioa ..................................... ', ......................................................................... ~.~ <br /> <br />Pumper T~C~ [nspccfion, ~ AddJ~ioaal Ve~elc......., ..................................................................................................... ~.~ <br />Sepfi~ I~¢~doa for ~ht~b ~ fee is ~a]iy <br /> <br />100/500 <br /> <br />ga]ions <br /> <br /> <br />