HomeMy WebLinkAbout05030227-ApplicationRECORD:
OWNER:
City of Cannel/Clay Township Permit #.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family:"'"'" "'"New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
PHONE
CITY STATE ZIP
SECTION ZONING:
REMODEL
[] ~] ACCESSORY B
[] DETACHED GAR~
F- [] A1-FACHED G!
[] DEMOLITION
w/Indiana Amendments
[] Uniform Plumbing Code w/~ndiana Amendments
(Multi-Family Cons~uction Code)
M u' ctured ~~.~: (Check all that apply for the new
[:~S;tl:it: :ump: . E
issuance date. Class I structure permits are subject to the General Administrative Rules of the State dl) ~I~ ~ ~g~ding expiration
time frames for beginning and completing co~
I, the undersigned, agree that any constluction, ~construction, enlargement, reIo3:_ ation, or
atructures ~q~u. ested by this application will comply with, and conform to, all applicable laws d~h~ gta~
Ludiana-1993 (Z-289) and amendments, adoptedunder authorityofLC, 36-7et $eo~ GeneralAssemblynfthe State.o~allAct.s. ame.n,.,darory
use~ or occupie~m~til, a CettilFcate o£Occ~ufbx~ncyhas been iss)~r~ the Department of C,ommumty Servmes, Carmel, Indiana,
Signature of Owner or rized Agent
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Filing Fees: ~~
Base Inspections: __~.~z~--~-.~-- # Charged Re-
Under Slab Cert. of Occupancy: .~o ,C~ 0 _ Reviews
P.R.I.F.: ~c- ~ 7- oC~ -Additional Fees