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�"""°�� CITY OFCARMEL / CLAYTOWNSHIP PERMIT # `1 D�J �"
'� RESIDENT[AL IMPROVEMENT�LOCATION.PERMIT APPLICATION Sewer / VS'a e-`II ilit �]
/MOI�N� For New Structures,Additions,Remodels,,and�Accessory Structures Permit$�.����-�� /
BUILDER NAME PHONE pp7�
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RECORD sTREETADDRE55 1TY STATE ZTp
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E-MAIL ADDRESS f '� c' BEST ME7HOD OF
I`�U.�T�D��'vw '�L`?� � CONTACT �/n, n
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"" PLUMBING NaME STATEOFINDIANA PLUMBINGCODE
CONTRACTOR (��.Q,� ���� �L� LICENSE NUM6ER I�U(�'Yl� I Q O IRC J�UPC
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PROPERTY NAME 1 PN E r �� `�p � F�
OWNER '�' ��� �III�CI'�l: D � '�) l� IS �
STREET ADDRESS ' C^IT'V n A7E up
IVI/il G 3 2014
PRO]ECT �OT NUMBER SUBDIVISION NAME SECTION
LOCATION
STREET ADDRE55 . ATE ZIP
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TAX MAP PARCEL NUMBER ZONING FLOOD ZONE/5
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LOTSPLIf SEYyERlN/LITY � ,� WA7ERUTILIfY SEWER/WATER
/1� 6 (1 , � .. UTILTfIESEXCAVATOR p���l �,,,, ,; ��7 �, �,
4 res o rvo �j�:.� �.�rL� �u�.��i - �W(,U W r 1 ��Lt�•U Ul n-
TYPE OF T�'PE OF CONSTRULTION MASTER PERMIT FLOORPLAN
PERMIT SWGLE FAMILY O TWO FAM[LY O TOWNHOME 0 YES J�I NO
�PE OFIMPROVEMENT EARLY RELEASE
,,NEW STRUCTURE � REMODEL O ATTACHED GAR4GE 0 ACCESSORY BUILDMG
O ADDITION-O Room/5 q Por[h O Deck 0 BASEMENT FINISH q DETACHED GARAGE � DEMOLITION ❑ YES ❑ NO
PRO]ECT P�N COMMISSION/6ZA/BPW DOCKEf NUMBER/5 AND/OR ESTIMATED COSi �� I �� �� SQUARE F�TAGE
7AC DATE/5 OF CONS7RUCfION, �(,J � ���
� EXCLUDING LAND ( �
PDFPLANS TYPE OFfOUNDA7IQ� MANUFARURED SUMDPUMP PORCH
O CD � E-MAIL �� CRAWLSPACE 0 05�&BFAM WALO POST&PIER TRUSS � �iN [ � ��9 i� NO � YES O NO
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STATE OF CDR NUMBER RELEASE DATE CONST ON TYPE OCCUPANCY 5
INDIANA
CDR SCOPE OF RELEASE E��/�p�- P OF REL
FOR70WNHOMES 0 FDN � 57R O ARCH 0 ELEC O MECH q PW�B`9PCl$�
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For Sin�+le Family and'fwo Family Dweliings[his Permit�s valid unly-i t'ufl��c'y�S���ijipg_g��Fthe date of�seuance of thie Permit and
mus�be completed,having the Cereificate ofOccuPancy�ssuecl,wi onH�s dG(j�f�V�.�y��9�7�%�I �iS'Class IStrucWre Permits are subject to the State
of Indiana General Administrative Rules(GAR 6751AC 12)regardin��m{t� f NyYd/�i,"�q���y omplcting mnsVU twn.
1�Ihe undersigned�agree that any constructioq retonstruction�enlaiKemcnt,r1��o �r�}� Sf 3��re,or any chanKe m the use ofland or
structuresrequc,stcdbythisappiicvtionnillcomplywithandconformtoallapplicab�q��fY4ifS��J� andt6e`ZOningOrdinancco(Carmel
Indiana—1993"(Z 289)and amendments�adorted under authority ut t.C:36-7 ct se9��j� Aksembly of �of Indiana�and all Acts amendafory
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thereto. 1 further certity that onlyilcitchen�bath,and Iloordrxins arc connecTed ro the unitary sewer. 1'furthcr certify[hat the wnstruction will not be
used or occup+ �w ' a Certif �mbf Occupancy has been iesucd by the DePa�y^t of Commu ity.Servicee�Carmel,Indiana.
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Signaku wnaror AuIM1� tl Ageni Prin[ed Name pa
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REQLIIRED BASE INSPEGTIONS * '• PERMIT EEES
: F�s� � R��«w �o3s. sZ
*Additional�inspectionsmay be required. g Re-Review
: Base InsPections 327• s�
Lower Footin Rou h-In ❑ Final —_ �
g g ' Cert.ol',Occupancy �3"s� --Other �—'-
' lIpPer Footin ter Base ❑ Site r � �
' P.R.I.F. G�] 00
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'• TOTAL IOS-SZ
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; Revie e Release � De u ofCommoNtyServfces �U e� ; Fee ceieed—Deparvnento(CnmmunityServices )ace
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