HomeMy WebLinkAbout05020109-ApplicationRECORD:
PROPERTY
OWNER:
Structures, Additions, Remodels,
PHONE
STATE
BEST METHOD OF CONTACT:
PHONE
ZIP
FAX
SUITE # (If Applicable)
(If dlffere~
Lot # and Subdivision (If Applicable)
ZONING:
WATER LrF[L-rI'y
PROVIDER:
~o779o
SCOPE(S) OF iD FDN
~ LrHLrry
PROVIDER:
WELL AND/OR SEPTIC PER~41T ~ (If Applicab~):
# of Room:
BLDG. CONSltUJC~ON TYPE:
(Pdva~ly owned hospttals
and medical ofllcas/centers
am commercial)
[] [NSTITUT[ONAL
E} Hunidpal/Pubiic Bldg
[] Church
area)
[]
[] ADDITION [] RoomCs)
[] Po~ch
Nezzanine or De~
~1~ REMODEL
NEW TENANT FINISH
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATI'ACHED GARAGE
[] CELLTOWER (New)
[] DEMOLITION
~CES
PRO - TN:
Eady Release
Permit: Y.
Lot Split: Y.
designaUon ama: Y N
Plumber's Indiana State Ucense #:
Flood
has beenissucd b
Ordinance of Carmel Indiana - 1993" (Z-
[ Acts amendatory thereto. I further certify that only
that thc construction will not be used or occupied until a C~cate of
Ind~an~
OFFZCE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ~
r Slab
~ase
Re~ewed/.q~proved': ~e~. o~Co'mmunity Senttce~ CDate)
Sase Inspections:
Cert. of Occupeno/:
.:
# Charged Re~
Reviews