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14050187 Receipt/Permit (2)
CITY OF CARMEL 4 ITEMS OF 8 PERMIT RECEIPT OPERATOR: nmishler COPY # : 1 Sec: Twp: 17 Rng: 04 Sub:642 B1k: 05 Lot: 219 PARCEL ID . . . . . . . . : 16140501040240�00 DATE ISSUED. . . . . . . : 06/02/2014 RECEIPT # � � � • • • • � � � BC0000076�99 REFERENCE ID # � � . : 14050187 SITE ADDRESS . . . . . : 11424 DONA DR SUBDIVISION . . . . . . : WOODLAND SPRINGS CITY . . . . . . . . . . . . . : CARMEL ZMPACT AREA . . . . . . . OWNER . . . ... . . . . . . . : BRAUER, JIM & JEAN ADDRESS .. . . . . . . . . . : 11424 DONA DR CITY/STATE/ZIP . . . : CARMEL, IN 46032 RECEIVED FROM . . . . : CUSTOM LIVING USA CONTRACTOR . . . . . . . : CUSTOM LIVING USA LIC # CUSTLIVI COMPANY . . . . . . . . . . : CUSTOM LIVING USA ADDRESS . . . . : . . . .�. : 241 MAIN ST W UNIT 1 CITY/STATE/ZIP : . . : CARMEL, IN 46032 TELEPHONE . . . . . . . . ; FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- —--------- - ---------- --------- -------- --------- IRESFINAL PER INSPECTIO 1.. 00 65_ 50 0 . 00 65 . 50 0 . 00 IRESROUGA PER INSPECTIO 1 . 00 65 . 5�0 0 .00 65 . 50 0. 00 RESC/0 FLAT RATE 1 .00 63 . 50 0 . 00 63 . 50 0 . 00 RESREMOD FLAT RATE .1 .00 156 . 50 0 . 00 156 . 50 0 . 00 --------- ------- -------- --------- TOTAL PERMIT : 351 . 00 0 .00 351 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER --------------- ------------- ------------------- CHECK 702 . 00 3353 ------------- TOTAL �RECEIPT : 702 . 00