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HomeMy WebLinkAbout05030110-Application· City of Carmel~Clay Tmenship ' permit # RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Hulti-FamJly, & Two Family: New Structures, Additions, Remodels~ & Accessory Structures BUZLDER of RECORD: LOCATZON & PRO3ECT INFO: PHONE FAX SECtiON ___& NAME OF UTILITY EXCAVATION CON~CTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR S~PT~C PERMIT #'S (IF APP~CABLE): -'C-N -- - : ~[NGLE FAMILY []] TOWN HOME [] TWO FAMILY # of units: MULTZ-FAMILY # of Units:__ [] RESIDENTIAL (For Additions, Remodels, Etc.) P:~- - - ;- AT] : I-- I ~M ~11 ' ENT: ~EW STRUCTURE [] ROOM ADDTF[ON(S) [] PORCH ADDTT~ON(S) REMODEL ACCESSORY BUILDING [] DETACHED GARAGE [] ATFACHED GARA~ [] DEMOLt-~ON :odes will b Uniform Plumbini E .... fa- ~ ~~L~: (Check ,forthenew any Kelease manu ccuree ~ constru~lon area~ Permit: Trusses: __~ N ,-, Lot Split: Sump Pump.~N [] SLAB ~ ~ASEMEN Does ally pal~ of the preper[y lie ~ithin a special Floed designatielt area, _Y WALKOUT:__Y._._~N~ _ L eddiQo~s, ~emo~cIs, ~act/o~ accesser7 s~uc~s, d~s ~emai~ is ~aIi~ o~ly ff consmmcdoa commeaccs : o£ ~h~ bult~fi~ ~ s:bj~c: ~o ~h: ~ Ad~v: E~ o~ ~h~ S:[e o~ [~ (~ 675 IAC 12) ~ ~ou ~ ~ [o~ ~ ~d com~]~B coms~cdom, ~mo:~ OFFICE USE ONLY: INSPECTIONS REQUIRED: Under Slab Date Filing Fees: Base Inspections: ~ # Charged Re- Reviews Cert. of Occupancy: ~-~ ,~ O0 P.R,I,F.: -~' ~] 0 AddiUonal .~OTAL: Serv~c~