HomeMy WebLinkAboutWaiverDEPARTMENT OF COMMUNITY DEVELOPMENT
40 EAST MAIN STREET
CARMEL, IN 46032
DATE:
TO B4QNG INSPECTOR, CITYOFOF CARMEL
FROM: ��DG7 - Tl-AOZr>
SUBJECT: '%D o� f007/N6. 07V EZ s7 "z e- Scoc—
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This is to certify that the (type of inspection)r�G zoic 2�T/ X oiV �CrJa�c
Z:Z for lot(s) Cf o&,ey6- ( Z)/t.ae,- of
STo/t. Rc OCv Geb,�c or application (permit) number
has been completed and done accordingly to all applicable parts of the
following: One & Two Family Dwelling Code, The National Electric and/or the National
Energy and/or the Uniform Plumbing Codes; and for Uniform Mechanical Code; all as amended.
I certify that I am executing this document for myself or that I have the authority of the
entity I represent to sign it and that this document shall bind that entity and all further
reference to "I" herein shall be considered to refer to such entity.
I further certify that I have executed this document in order that I may complete this
project without further delay due to the Cities' inability to inspect the project at this
time. In further consideration of the City accepting this document in lieu of inspection,
I agree to assume and accept any and all liability for said project and will hold the
City of Carmel, it's employees' and agents, the Department of Community Development and
the building inspector harmless from any and all liability to any person or entity for
the failure to make such inspection and I further agree that i will pay the City for any
and all expense, including attorney fees, resulting any way from the lack of said inspect-
ion or items not inspected.
DATE: Bim- /
Sik�tYatu e Alfpli,afit
,?Z)44 K -e- r
State of Indiana, Countv of Hamilton,ss:I j)
Subscribed and sworn to before me this 4�— day of 19?.
Notary Public
My Commission expires 19 O d
Witness: