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City of Carmel/Clay Township Permit #: 0 7f)y">~q/::;
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8t Two Family: New Structures, Additions, Remodels, 8t Accessory Structures
BUILDER of
RECORD:
FAX
5;;;'-0/I./S
STATE
T,d
ZIP
~
PROPERTY
OWNER:
PHONE
FAX
CIlY
STATE
ZIP
lOCATION
8t PROJECT
INFO:
LOT #
...5-;;'
SECTlO
ZONINGS
SQUARE
FOOTAGE:
613/
ctK:J
(J,Am>!! L/6tJ.33
SEWER UTlUTY WATER UTILITY /J / ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: L (] R/YJe (EXCLUDING LAND VALUE)
NAME OF UTIlITY ExCAVA N CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET ~ tJ
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): / J01: - ~.?I /
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
"!Xi SINGLE FAMILY ~ NEW STRUCTURE R . [ /'fIt;tJf.e
b TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana Sta,te.License.#:: .. _ Joos:OJtJ5
o ~~/u~7~~Y 8 ~~~g~:~DITION(S) , A~ ~1f~-'~:?~..(pj7 r'~:.I:.~\:
o MULTI-FAMILY 0 ACCESSORY BUILDING Wh;ch plumbing codes will ~~l~Pl>td to the construction: I.II! "
# of Units: 0 DETACHED GARAGE -dl t . I 'dll~' dj;I JIm d I, 1'1
o RESIDENTIAL (For 0 ATTACHED GARAGE ,Z:!.. n emat.ona Res. '11' ili odiXJ{~n Z i Lu~i m~n~, 11'1
Additions, Remodels, Etc.) 0 DEMOLITION 0 Uniform Plumbing c!:1<IeW/1nd;ana Amendments. 'I' U! "
(Multi'Family Constru ion COpe) I
FOUNDA nON TYP Check all that apply for the new
construction area)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses:
Print
Date
Final
. Site
P.R.I.F.:
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d--J 1, '(/)
S- 3.511
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Filing Fees:
Base Inspections:
Cert. of Occupancy:
# Charged Re.
Reviews
.--'
c.Y'o....: 3-2; -0
ReviewedjApprov d: Dept. of Community Services (Date)
S:PermitsjFormS/ILP RESIDENTIAL
Additional Fees