HomeMy WebLinkAbout05120002-Application Permit
City of Carmel~Clay Township
APPLICATION
~' For Single Family, Hulti-Family, & Two Family
-- PHONE FAX
JI'LDER of
RECORD: orr ST^~
BU1LOER'S j
PHONE FAX
OWNER:
STREET ADDRESS cTrY STATE ZIP
LOC IION
& PROJECT
Additions~
Permit:
//~ough Zn
ADDiTION(S)
DETACHED GARA(~
ATTACHED GAI~
DEMOLITION
State License #:
Whi~ plumbing codes will b~ applimi t~ the construcUon:
(Multi-Family Construddon Code)
~ Sump Pump:
lie within a ~
construction area)
C~ CRAWLSPACE [] POST
[] SLAB ~g;;~L--BASEMENT
WALKOUT: N
r. ~ §~S_ t...;,a ...... ~- ..a must be comoleted (Certificate of O~up~cy ~ed) ~ 18 months o~ th~
of ~e ~te ox ~cc o~ uxc u~ ~ ............ ~R~ ~f the S~te of In~ (See 675 lAC 12) r~g ~uon
~c ~ for ~g ~d compl~ng coercion. - ......... ~ ~d or
Under Slab
Site
Filing Fees:
Base Inspections:
Cert, of Occupancy:
P.R.I.F.:
# Charged
Reviews
AddiUonal Fees
(Date) Fee Received by: