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08010042 Application
NOV-27-2007 TUE 09:08 AM CITY OF CARMEL KS FAX NO, 3175712499 P. 02 City of Carmel/Clay Township Perm It #: 0:5 RESUDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Stools Family, Town Horne, $Two F'Rmihn imew $%ructures Additiom Remodels, S At] wwry Structures BUILDER OF "AMA FAX: ? RECORD STREET ADDRESS: aTy. STATE : ILADQ LL) ' , BUILDER'S EMWL ADDRESS, BEST mmoo OF CONTACT: PROPERTY E: 1 PW NE: PAID: ! OWNER: +i J J U ' STRE117 ADDRESS: -70T611- lob4) CITY: STATE c- ='L4. q (a _- ' LOCATION LcFr0; SJt3 MSI)4NN AME: SECTION: Z 4ltUNG: it PROTECT INFO: ADDRasOFCOttSiRWFION: FI E r - SWAR? - 7, 5€WER tMLLTY pROwI WATER UTILiTd F3T1f`tATI? ClNSTkULTION: (EXCWDIN6 w+TbvAw4 P :_ r ._ NWE OF UTILITY orCAVATmN CUCUCIDA; ItAN COtf$PMM I-W J4PNC D=C ET = NUMBERS; TAC DATE(S), AND/OR COUNTY WELL ANO/OR SWn C R131MIT VS (7 AKUCABLE) ;a R=Q ZONE AREA DESIGNATION(S) TAX MAP PARCEL 19 FOR THIS PROPERTY: , 00006 0 Q TYPE O =N§IRII QK TYPE OF IMPROVEMEN71 PLUMBING CON oR O SINGLE FAR4ILY 0 NEW STRIICRURE ? TO" H014E ? TWO FAMILY ?D O ROOM ADDICION(S) PORCH ADDITION(S) _ Plumber% Indiana St ate License #: # of units being t:j DEO(ADDITtON(S) constructed at this ti iD REMODEL Which pivmtdnq bastes wilt be appiiied to the crosbu t<on; me: O RESIDENTIAL (For 10 Pasemimt Finish only ACbCOSORY BUIL.DUn 0 Inwmational Roeldentlal Code W ndlana Amendments Addltttorm Aemodelc M) ID DETACHED GARAGE O Uniform Plumbing Code w/Indiana Amendments I? ATTACHW GARAGE MQJKr INFORMATION; X DEMOLITION EWR?ATIONTYPE; (Check all that apply for the new Early Rerea$s Manufactured construction area) Permit; Y _N Tho m; --j _N D CRAWLSPACE © POST A _ BEAM -PIER Lot Spilt: Y -N Sump Pump: Y-N O SLAB D eA5EmBrT (wN-KOUf ?, Y N ) dsis permit iA valid onlp if counwdon car +r m eaa % rancy iasucd) wiam Is awntlu of the issuance date. I, and [L acq, Cimtlal geaesahly of the Sta[t of I6dian.x. and ¢fl AGm amcndsenty x?arn sewer. I fusduz c=tify dm the consuucrion will wt he used or occupied 1. OFFICE USE ONLY:**:x***x*#t**********xra?ss***#*****s********?****asx*x# s**ssx#xs******Y*s* INSPECTIONS REQUIRED: Filing Fees: _0 Upper Footing Lower Footing Under Slab Base Inspections: 0 Ch Re' ReWews Rough In Meter Base Final 5' ft ?l rL - JAM.. ILL, (50 Reviewed/ wed: Dept. of Comrnunity Services % (Date) Cert. of Occupancy: P.R.I.F.: Addilonal Fees T TAL: l Fee ez bv: Gate