HomeMy WebLinkAbout030078-Application~or
CITY
NO.
Date
Roll File
zears of the issuance date.
Zc' :3 d_
OWNER
NAME PHONE
qTREET CITY
LOCATION
a porch
3. [] Multi-Family Type of Foundation
4. [] Commercial/Industrial
5. [] OTHER
(Specify)__ [] Slab
B. SEWER:
1 [] Public (Name o£syste )
2. [] Private (coUnty permit # )
C. WATER~-,
1. [] Public (Name ofsystemU-~5~x'~w3, )
2. [] Private (Coumy pe~rfit
D. ZONING :~
K. Plm
Addition: Porch Room
~emodel [] Cunma~-~rcial ~ Space
~oUndation Only
-~emolitiun
'~;ccessory Bmldmg
e Detached ____ Attached___
YES NO z,
YES NO ~
YES X NO
YES 5v-k NO
E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code [] Plumber s
(Excluding Land Value) Indiana Plun~ing Code: ~ License #: \ ~5\q-I '~1
I, the undersigned, agree that any consrrucnon, reconstruction, enlargement, relocation, or alteration ora structure, or any change in me use m ~an~i or stractul'e~
requested by this application will comply with, and confom~ to~ all applicable laws o f the State o f Indiana, and the Zoning Ordinance o£Cam~el Indiana - 1993~
(Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly 0fthe State of Indiana, and all Acts amendatory thereto, I thrther
certify thai only kitchen, bath, and floor drains are connected to the sanitary sewer rtil}, that the constructiou will not be used or occupied until
Certificate of Occupancy has been issued by the Depart~en ludiaua.
w, INSPECTIONS NEEDED:
Signature of*Owner or A~thorized Agent ---
,'Phone Number1 /~[ ~/Filing
Fees:
Base
lnspecnons:
E-Mad._~_ ~'¢ ~
Cert. of Occupancy:
~ : TAC D~atels}