HomeMy WebLinkAbout05040171-ApplicationRECORD
PROPERTY
OWNER:
& PRO3ECT
:[NFO:
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
~' J < PHONE FAX
NAME OF UTILITY
t COMMISSION / BZA/apw DOC~' T
COUNTY WELL AND/OR SEPTIC PERMIT #'~ ('IF APPLICAJ~LE):
SINGLE FAMILY
~ HOME
TWO FAMI .LY
# of units:
[] I~IULTI-FAMILY
_~if of Un~:
RESIDENTIAL (For
Additions, Remodels, Et=,)
TYPE ~---" _ M NT:
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Which plumbing codes will be applied to the construction:
[~ International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
POST & BEAM
BASEMENT
)
S:Pernflt~/Fo~ms/ILP RES[DEN~L
Services --(Date) '/'
Fee Received by:
Charged Re-
Additional Fees
7