HomeMy WebLinkAbout05100065-Affidavitand Newly Assigned Contractor
to ]
lame,
Type of Construction
assumed by
of the State of Indiana, and all Acts amendatory thereto.
be used or occupied until a Certificate of
Services Carmel, Indiana.
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I/IA ,/k/~.c~ ~x County, State of Indiana, personally appeared
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~ecution of the foregoing instrument this ¢ e7 day of
Phone
STATE OF INDIANA )
SS
of Indiana, personally
of the foregoing insmunent
Rev. Oct. 2003
S:Permits/Affidavits/New Builder Affidavit