HomeMy WebLinkAbout06030117 Application
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City of Carmel/Clay Township ~ N if Permit #: 0&'03'0/)7
RESIDENTIAL IMPROVEMENT LOCAT ON P RMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER of
RECORD:
11- IT?- 67'78'0
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PROPERTY
OWNER:
PHONE
FAX
STATE
/~ ZIP
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LOCATION
lk PROJECT
INFO:
ZONING:
R
SQUARE
FOOTAGE:
SEWER UTILITY
PROVIDER:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
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NEW STRUCTURE
ROOM AOOmON(S)
PORCH ADDITION(S)
REMODEL
ACCESSORV BUILDING
OETACHED GARAGE
ATIACHEO GARAGE
DEMOLITION
PL4ir~RACTOR:
Plumber's Indiana State License #:
~ J (J.S- J f?)(
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~~h plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_VLN
_VjLN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT
WALKOUT:_V _N
Print
SEONLY: ********************************************~***************
Filing Fees: ~Il ,5tJ
SPECTIONS REQUIRED:
Base Inspections: 1\ f i' 00
Cert. of Occupancy: -5'1 ,61)
Under Slab
# Charged Re-
Reviews
Final
Site
P,R,I.F,:
Additional Fees
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CV1L-~ Q hi ~ <i-II-6{,
Reviewed/Approved: Oept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL
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