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HomeMy WebLinkAbout05010013-ApplicationCity of Carmel/Clay Township COIV[MERCIAL or INSTI.,.T~,TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or InsUtuUonal. New S'-*zructures, Additions, Remodels, Tenant Finishes, & Accessory Buildings BUILDER of RECORD: PHONE FAX PROPERTY OWNER: LOCAl/ON & PRO3ECT ZNFO: ADDRESS PHONE BE$~I' METHOD OF CONTACT: FAX SUITE it 0f Applicable) ZIP of Shell Building (If d~fferent than Address of Cons~ru~on) Lot # and Subdivision (If Applicable) STATE COMMERC/AL DESIGN RELEASE #: WATER UTILITY PROVIDER: ~ AND/OR BLDG. CO~ OCCUPANCY CLASSIFiCATiON:-- COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): Of Roots: Elevator or Uft: [~ YES ,..,..,.. / , wfFt a~i re?U~¢~D~ON Pe~it: Y ZN~ fmc: Y - ~ Lot Split: Y~ Sump Pump. Y O~T~ F i , ~~ ~a y~meprope~mina~alFl~ ~ ~ ~ ..... '~-~-~N~H d~ignaUona~. Y_ N ~ ~umh ~P~LJ[~I~ ~ A~ES~RYBU[~[~ PL MBZN - ~ O.: ~: (~ all which ~ D~ACHED ~GE ~ S~B ~ C~WL SPA~ ~ CE~ TOW~ (N~) Plum~¢s indiana ~ Lic~se ~: ~ m~s~ ~ S~E~E~ ~ CE~OWE~ (o~m~m~) W~O~:YN ~ OmO~ON ~ ~ ~ ~ complc~g ~c~o~. ~, ~c ~ a~ ~ ~y co~cuo~, mco~sc~cc~o~, e~ m]oc~do~, o~ ~c~do~ o~ a s~ccu~, o~ ~y ~ ~ the use o[ 0~ ~ Offi~l ************************************************************************ INSPECTIONS REQUZRED: Upper Footing Lower Footing Under Slob Filing Fees: Base Inspections: Cert. of Occupancy: TOTAL: # Charged Re- Reviews (Date)