HomeMy WebLinkAbout05120019-Receipt/PermitCITY OF CARMEL
f 1 PERMIT RECEIPT
Sec: Twp:18 Rng:03 Sub: Blk:19 Lot:
PARCEL ID ........ : 1709190000019000
DATE ISSUED ....... : 12/14/2005
RECEIPT # ......... : 20734
REFERENCE ID # ...: 05120019
OPERATOR: vdolan
COPY ~ : 1
SITE ADDRESS .... : 3631 141ST ST W
SUBDIVISION ..... :
CITY ............ : WESTFIELD
IMPACT AREA .....
OWNER ............ : GARY A FREESE
ADDRESS .......... : 3631 W 141ST ST
CITY/STATE/ZIP ...: WESTFIELD, IN 46074
RECEIVED FROM .... : GARY FREESE
CONTRACTOR ..... : LIC # FREEGAR
COMPANY .......... : FREESE, GARY A
ADDRESS ....... : 3631 W 141ST ST
CITY/STATE/ZIP ...: WESTFIELD, IN 46074
TELEPHONE ........ : (317) 733-8536
UNIT QUANTITY
RATE
FLAT RATE
AMOUNT PD-TO-DT
1.00 53.50
1.00 53 50
1.00 53.5C
930.00 240.35
1.00 51.50
THIS REC NEW BAL
o.oo 53.50
0.00 53.50 0 O0
0 00 53.50 0.00
0.00 240.35 0 00
C.00 51.50 0.00
0.00 452.35 0.00
2EIPT
452.35
NUMBER
3078
RMEL / CLAY TOWNSHIP Permit #: 05120019
Date: 12/14/2005
141ST STW WESTFIELD IN 46074
Flood Zone: N
Lot Split: N
Fax #: 3174751004
.D, IN 46074
Fax #: (317)475-1003
LD. iN 46074
Email: GARY301@AOL.COM
) SQ
PERMIT TYPE: RESADD
-- RESIDENTIAL ADDITION-
ROOM(S)
Water Service by: WELL
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: CRAWL
Estimated Cost of Construction: $60000
Manufactured Trusses: N
Sump Pump: N
Porch: Y
Deck:
ILP: N
. al
amendatory
the sanitary sewer. Ifurther certify that the construction will not be used or
2armel, tndilma,
53.50
53.50
240.35
51.50