HomeMy WebLinkAbout05030205-ApplicationFor Commema
Remodels, Tenant Finishes,
PROPERTY
OWNER:
ADDRESS
PHONE FAX
& PRO3ECT
INFO:
Address of Shell Building (If different ~han Addre~
SEWER UT'[LtTy
PROVIDER:
PLAN COMMISSION / BZA / BPW DOOKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #~S Of Applicable):
Bevator or UR: [~ YES
COMMEROAL
(Privately owned hosprca~s
and medical offices/canters
are cornmerc~a0
[] IN~ONAL
Bldg
BEAM
(or POST & PIER)
all which
[] CRAWL SPACE
C~ ~ASEMENT
WALKOUT:~I
[] REMODEL
[] NEW TENANT FINISH
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] AITACHED GARAGE
[] CELL TOWER (New)
designation area: Y_~_..I~
State of LndJa~a (
Occu.~mc~or Sul~s,cant~a( Comple~ioa has b~n issued by the Department of Community Sez~es, Carmel. Indian~
E USE ONLY: ***~
Filing Fees:
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
Addi§onalFees
(Date)