HomeMy WebLinkAbout05010001-Application Application for ~ Permit No.~
Improvement Location Permit Dat
Roll File
This Pe~mt i~ valid only if construction is started wi~in 180 days oft~e date of issuance for r~sident~al construction; and for commercial projects, within one (1)
~ Release. All con~Wacfio
PHONE
TENANT NAME
PROPERTY
OWNER
LOCATION
PHONE
STREET CITY
SUBDIVISION
ADDRESS OF CONSTRUCTION
A. TYPE OF CONSTRUCTION Do plans include
1. _~ Single Family [] Ves/~No 1. []
2, El Two Family 2.
3. ~ Multi-Family T~ of~fl~ndation 3.
4. [] Commercial / Industrial ~,~lspaee 4. []
[] Slab '~ 6. []
INDIANA
Foundation Only
Demolition
Accessory Building
B. 7. [] Garage Detached Attached
1. [] Public (Name of system ___)
2. [] Private(Countypermit~'---_ ~ ~ G. LotSplit YES NO__~_~
C. WATER -- ~-'L,,,~.. FloodZones YES__ NO~
1. [] Public (Name of system_ ) f~ig~r I. Sump Pump YES __ NO~,.
2. [] Private (County permit # ~ L Manufactured Trusses YES NO_~__~
~ of I.C. 36-7 ~
been issued ~
(Phone Number)
e State of Indiana, ,thereto. I further
further certify that the construction will not be used or occupied until a
INSPECTIONS NEEDED:
Lower Footing Bonding/Grounding___(#)
Under Slab~ Meter Base
Filing Fees: t~ ~'
TAC Date(s)
P.R.I.F.:
S :Perm~ts/FormfflLP3 -04