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M~g~b/.CKI~BU[LDING INSPECTION <br /> <br />FOR CIT~II~ATInt~[[~l''~'''-- ~tlts'X~[~toNiE ~R;m 132 PERMff ~' <br /> <br /> ~ARION ~,,,, ~:~7~ Is~u~ by: <br /> <br />, City <br /> <br /> Dir~aiom <br /> <br />orr w, // /ed <br /> <br />PERMITS ARE NON-TRANSFERABLE AND KXP1RE IF WORK 15 NOT <br />STARED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 1~ DAYS, <br /> <br /> co rR.CTOtt mST L*TION Om¥ <br /> <br />Contractor's Board Reg. No. ,.5-~.~ J Job No. <br />Signmure of Supervising El~tri¢i~ <br /> <br />28. FOR OWNF~ INSTALLATIONS <br />Property Owner (ploasep~ira) <br /> <br />3. PLAN'REVIEW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section SB and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC t3-34 12/94 <br /> <br />E. Miseellane~s (Servlee ~r Feeder Net lnoludod) <br /> Each p~ <br /> ~ch si~ or ~tline li~ <br /> SigflM ci~uit(s) <br /> <br />P. E~ addit~l ln~ion <br /> <br />$40ffJO 2 <br /> <br />$35.00 <br /> <br />__,~q.~.x$.06 =__ <br /># of I.,abeh NIC <br /> <br />5. FEES <br /> A 1. Enter total of <br /> A2, Add 5% sur~hacgg (.05 x At) <br /> <br />Subtotal <br /> <br /> <br />