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HomeMy WebLinkAbout030042-ApplicationBUILDER OWNER Permit No. Improvement Location Permit Date Roll File within 180 days of the date of ~ssuance for residential construction; and for commercial n Release. All construction mus PHONE FAX CIT~ STATE g~ Bl ,e 14or e hve LOT PHONE FAX ~OZ2 (~3f7) 573 - SECTION 1. ~' Public (Name of system~ 2. [] Private(Countype~mit#~ C WATER ~. 1. ~ Public (Nameofsystem__~.~__~) 2. [] Private (County pe~t # [k] ~ D, ZONING: E. ESTIMATED COST OF CONSTRUCTION (Excluding Land Value) (Print) E-Mail: Plan CoTssio W Docket #'s; T~C Date(s) Re iewed/Approved: Dept. of Community Services F. TYPE OFIMPROVEMENT 1. [] New Structure 2. [] Addition: Porch Room [] Commercial ~ Space [] Foundation Only Demolition [] Garage Detached Attached NO 3. Lot Split YES __ H. Flood Zones YES NO I. Sump Pump YES N(~ I. Manufactured Trusses YES N K. Plumbing Contractor t30 IRC Plumbing Code: [] Plumber's Indiana Plumbing Code: [] License #: t change in the use of land or sumctures g ~ce of carmel Indiana - 1993" e of Indiana, and all Acts amendatory thereto I further r certify that the construction wffi not be used or oc~ until a INSPECTIONS NEEDED: ~ Meter Base Site Fees: Base Inspections: Cert, of Occupancy: P.R.I.F.: r~nits/Forras/II~5 -02