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HomeMy WebLinkAbout14050020 Receipt/Permit CITY OF CARMEL 9 ITEMS OF 9 PERMIT RECEIPT OPERATOR: nmishler COPY # : 1 Sec: 31 Twp: 18 Rng:3 Sub: B1k: Lot : PARCEL ID . . . . . . . . : 1709310000015000 DATE ISSUED. . . . . . . : 05/28/2014 RECEIPT #. . . . . . . . . : BC000007671 REFERENCE ID # . . . : 14050020 SITE ADDRESS �. . . . : 12174 SHELBORNE RD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CARMEL IMPACT AREA . . . . . . . OWNER . . . . . . . . .. . . . : ST MARY & ST MARK COP^_IC ORTHO ADDRESS . . . . . . . . . . : PO BOX 691 CITY/STATE/ZIP . . . :� CARMEL, IN 46062 RECEIVED FROM . . . .: ST MARY & ST MARK CONTRACTOR . . . . . . . : KHOURY, MOUSSA LIC # KHOUMOU COMPANY . . . . . . . . . . : KHOURY, MOUSSA ADDRESS . . . . . . . . . . : 13'735 HIGH POINT CIR CITYJSTATEJZIP . . . : FISHERS, IN 46038 TELEPHONE . . . . . . . . : (317) 691-1911 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- -------- ----- --- - CIIC/O FLAT RATE 1 .00 128 . 00 0 . 00 128 . 00 0 . 00 CIINAA SQUARE FEET .19, 000 .00 4648 . 50 0 . 00 4648 . 50 0 . 00 DUPPLACARD FLAT RATE 1 .00 18 . 00 0 . 00 18 . 00 0 . 00 ICIIELEMTR PER INSPECTIO 1. 00 119 . 00 0 . 00 119 . 00 0 . 00 ICIIFINAL PER INSPECTIO 1 . 00 119 . 00 0 . 00 119 . 00 0.. 00 ICIIFTSLB PER INSPECTIO 1. 00 119 . 00 0 . 0�0 119 . 00 0 . 00 ICIIFTSLB+ PER INSPECTIO 1. 00 119 . 00 0 . 00 119 . 00 0. 00 ICIIROUGH PER INSPECTIO 1. 00 119�. 00 0 . 00 119 . 00 0 . 00 ICIISITE PER INSPECTIO 1. 00 119 . 00 0 . 00 119 . 00 0. 00 TOTAL PERMIT : 5508 50 0 .00 5508 . 50 0 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ---- -�- --- ---- ---------- CHECK 5, 508 . 50 2978 TOTAL RECEIPT : 5,508 50