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HomeMy WebLinkAbout05120145-Application Permit #:~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures BUILDER Of ~e P,ONE FAX RECORD: STREET ADDRESS CiTY STATE ZIP BUILDER'S EMA~L ADDRESS BEST METHOD OF CONTACT: PROPERTY PHONE OWNER: ~ ~w~$ 0d, ~dc. __ 3 :n- ~ er~- ~ ~_~$ cTrY FAX [] SINGLE FAMILY [] TOWN HOME [] TVVO FAMILY # of units:__ [] MULTi-FAMILY # of Units: -- ' - '- IE, T: [] NEW STRUCTURE [] ROOM ADDTHON(S) [] PORCH ADDTHON(S) [] REMODEL [] ACCESSORY BUILDING [] DETACHED GARAGE Early Release Permit: Lot Split: _Y N Does any pa~t of the preperb/ isana, nc¢ da~ Class I sttuctarc t~rmit~ arc subject re I, thc undersigned, agree thor any cons~ucaon stxuct-urcs rcqucstedby chis application will comply wi~, and con[onn r~ Indiana - 1993' (Z-289) and amcndman~s, adopted under authodt7 PLUMBING Plumber's Indiana Which [] International Residential Code ~ [] Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) F- UND- N , : (Check all that apply for the new con~t:rucflon ama) [] CRAWLSPACE [] POST & BEAM [] SLAB [] BASEMENT area.' YN WALKOUT: Y N · rJtts l~t is valid o~y tt'co~sttuctina commeaces ~fthe Rules of the State of Indiana (See 675 IAC 12) regarding expiration t. or alteration of a structure, or any cha~ge La the use of land or laws of the State of L~dian~ and the ~Zoning ordinance of Carmel of the State of Indiana, and all Acts amendacor~ thereto. I further certify that only kitchen, bath, andfloo -- 0,-% OFFZCE USE ONLY: ************************************************************************ Filing Fees: '-~ INSPECTZONS REQUIRED: Upper Footing Rough In . ~.as,e .[nspections: ~*'3 ~ O. # ~ar.ged Re* P.R.I.F.: ~iuoml ~ TOTAL: ) 0 FeeR