HomeMy WebLinkAboutMisc 240 DB U""T OF C"UNITY DEVELOPMENT
EAST MAIN STREET
CARMEL. IN 46032
DATE:
Tb :B:UILDING INSPECTOR
CITY OF CARMEL
FROM:
SUR JWT:
--�j2 Creei,...._
This is to certify that the (type of ins e
p coon)
for lot(s)
�s3� C re
has been subdivision or a of
completed and done accordingly application (permit
following: Ona 6 Two Family g y to all applicable ) number
Y Dwelling Code, The National parts of the
Energy and/or the Uniform Plumbing Electric
I certify8 Codes; and for and/or the National
that I am executing Uniform Mechanical
anti[ g this document for Code; all as
Y I represent to a myself or that I have the amended,
reference to $n it and that this document shall bind that authority
��I" herein shall y fu the
be considerwd to refs: entity and all
I further certify
r to such entity, furthe
Y that I have executed t
Project without his documant in order
further dally due to that I
tise. In further consideration of the Cities' inabilit may complete this
y to inspect the
I agree to the City acceptingProject at this
assume and accept this document in lieu of
City of CarAel any
d d all liability for said project a inspection,
. it s employees' Pro
the building agents. the and will hold the
$ inspector harmless from �partsent °f Community
the failure to any and all lia bilis Development
make such ins and
and all ex Inspection and I further y to any person or
expense. including agree that entity for
ion or $ attorney fees I will pay the C
Items not inspected. . resulting in any City for any
Y way from the lack of said iRsW
DATE: - ��_ S► 7
Si nature,0
State of Indiana Count p is t
Of Rami 1 ton
bed sworn and .ss:
Subscribed Y �
to before as this
day of
�.......,. 19 J,
Hr Aior�r ,� LMS Also ar
My Ccis C ,•y ilztcry - y Y 1 is
si
on sip i rari Nov 4, J 98,E
Witness: