Laserfiche WebLink
rO~ cITt' ~sg ONLY <br /> Re~lv~ By: ~t~: ..... <br /> Zoning By: C[~: , <br /> Receipt ~: ~ Amount: <br /> <br /> ~C~NI~ PE~ ~ICA~ON <br /> <br /> 1. LO~TION OF ~LA~ON <br /> <br />I ci : zi : ff 0o, , <br /> <br /> rs ~o~sr~r~ ~ ~so mrs <br /> WO~ ~ ~USPEND~D ~OR 180 <br /> <br />~ CO~OR ~FO~k~ON <br /> T.e <br /> <br />Address: <br /> <br />Sine: <br /> <br />Zip: <br /> <br />2B, FOE OWNER INSTAL!rATION <br /> <br />l am ~he PROPER~ OWNER a~I o.,~ ~side in. or wff~ res;de in <br />z~uctu~ ~ gOM or offtred fi~r sale befo~ or upon compleffv~. /f i <br /> <br />Contmctors Boa~ I wfl ~di~ely not~ Marion Co.~, of the <br /> <br /> PLAN I~¥1LvW SEP'~.xe~':-- . , <br /> M~Ou Coun~ doc~ m <br />plus ~ ~i~e~t~on EFFECTI~ %1-99 <br /> STATE SURC~GE CHANGE <br />MC 15~1 Rev 9198 <br /> ~OM 5% TO 7% <br /> <br /> MARION COUNTY BUILB1NG INSPECTION <br /> COIvL-MUNITY DEVELOPMENT CENTER <br />3150 LallCaSi~r ~)[, N~ - $~it¢ C, Sat~lll, Of6gOil ~730~ <br /> 8:00am - 4:30pta <br /> 24 HR Impc~tivn Line 373-4427 FAX 588-7948 <br /> <br /> ( )h---~,' ~iI~ITION ( )aLTERATION <br /> ( }.m. ELOCAiUO.X ( <br /> <br />$12.00 ,v- $ -- <br /> <br />$12.00=$__ <br />$t5.00 = $ .... <br /> <br />$15,00 = $ <br />$15.0o=5 <br /> <br />$15,00 = $ <br /> <br />S12,00= $~ <br />$12,00 = $ <br />S12.00 = $ .... <br /> <br />$12.00 <br /> <br />$9.00=$ <br /> <br />$9.00 =$__ <br />$6.00 <br /> <br />$I5,00 <br /> $6,00 <br /> <br /> $ .04- ,~ $ <br /> <br />FEES <br /> <br /> SUBTOTAl. <br /> <br /> D, l~[nspection Fee ($50.00) <br /> <br /> G, [nSpe~tior~ Our-mid~ Normal Busitlcs$ Hcars, ($62,50~, mjnM~um ~o ho~s) <br /> <br />TOTAL AbH')UNT DUIZ <br /> <br /> <br />