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Remodels, Tenant Finishes, & Accessory Buildings
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PHONE
BEST METHOD OF CONTACT:
STATE
FAX
SUIT~ # (if Applicable)
DESIGN RELEASE #:
~f She0 Building (If dlff~ent tflan Address of Construction)
ZONING:
NAME: ,
~ FDN ~ ~
and SubdNision (if Applicable)
TAX MAP pARCeL #:
~ MECH 0 PLUM SQUARE
FOOTAGE:
c3 SEICLR OTHER(S):
BPW DOCKET NUMBERS; AND/OR
COUIfrY WELL ANO/OR SEPTIC pERMIT #'S (If Applicabte):
BLDG, CONSTRUCTION TYPE:
OCCUPANCY CL IFJCA'r[ON:
Room(s)
sumt~
~oesanypart
· Y
WALKOUT: YJ [] OEMOLI'r[ON
'~ct to the General Administrative Rules of the State o[ [adL~ut (S~
ar~ subj constXuctton.
[ u~dcr ~od-t7 of I.C.:
of Indiana,
t the construction will not be
Se~ices, Carmel, Ind~nm
l a Ce.,t~ca~ o£
under Slab
~ Site
Filing Fees:
Base Inspections:
Cert, of OccupanCy:
# Charged Re
Revie~
Additional Fees