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MARION COUNTY BUILDING INSPECTION <br /> <br /> 8:00am-4:30pm Phone 588-5147 <br />Zoning Validation: <br /> <br />Date: 2~ hr. Inspection Line 373-4427 <br /> SITE EVALUATION AND/(~__~PTIC PERMIT APPLICATION_~ <br />1. LOCATION OF INSTALLATION <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />3. FEES <br /> <br />Mailing Address Phono No. <br />Mailing Address Phone No, <br />Mailing Address Phone No. <br /> <br />+ $100/500gallons <br /> <br />+ $25/500g~lons <br />+ $25/500gallons <br /> <br />Receipt ' <br /> <br />Tank Pumped: <br /> Date <br /> <br />Pumping Certification Attached: (Y) <br /> <br /> <br />