HomeMy WebLinkAbout06120006 Application
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMli Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
Permit#: f)h/~()()OftJ
BUILDER
OF
RECORD:
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BEST METHOO OF CONTACT:
PROPERTY
OWNER:
STREET ADDRESS:
cm:
STATE:
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ZIP:
4
3'2-
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,
LOCATION
&. PROJECT
INFO:
ADDRESS OF CO~UCTION:
S. ~, '.
SUITE #: (If Appllcabr~A HUH
U). 1V/~.
Lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
MECH 0 PLUM
o COST OF CONSTRUCTlON: /et: ~
NG LANO VALUE) l./" (-, 2-
uO
') '- OCCUPANCY ClASSIFICATION:
I FORMATION:
~
o
Early Release '\~
Permit: Y f..J N
Lot Split: Y ~N
Manufactured
Trusses:
Sump Pump:
_YAN
_yXN
o
FLOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
X - fA. n ~o.I. cz.o{
PLUMBING CONTRACTO r T2 e ~
Plumber's Indiana State License #:
OFFICE USE ONLY: ********************************** ***********************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base ~ Site
T;a~
F eceiv by:
f! 1./1/ !~
!2/u/OlQ
Date
Reviewed/Appro Dept. of Community
S:PennitsjForms/ILP C MMEROAL