HomeMy WebLinkAbout05020114-ApplicationRECORD:
& PRO3ECT
ZNFO:
City of Carmel/Clay Township permit #: (~0~0 ~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
~ .~-~ PHONE FAX
~ ~D~S ~ ~A~ ~P
BUI~R'S E~L ~D~SS ~ H~OD OF ~A~:
PHONE ~
Address of Shell Building ([f different than Address of
.or # and 5
PROVIDER:
SCOPE(S)
RELE~E: ~i~ ELEC ~ SPKLR
SEW~ UT[LtTY
AND/OR SEPTIC PERMIT #'$ (If Applicable):
r Uti:: g Y~S
I~NO BLDG, CONSTRUCTION TYPE: ~.1: OCCUPANCYCLASS[FICATION: ~;~
P - F MP- V-M i : '_: :_ -A '. N:
CRAWL SPACE
POST 8[ tSEAbl I~ BASEMENT
(or POST & PIER) WALKOUT: Y N
BUILDING
'-I DETACHED GARAGE
[] ATTACHED GARAGE
[] CELL TOWER (New)
~ CELL TOWER CO-LOCATE
[] DEMOLITION
N
Does any part of the propett~lle within a special Flood
designation area: y V'N
Plumber's
L2)r'
F!!ing Fees:
f Services (Date)