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City of Camel/Clay Township Permt #.~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Struct. res, Additions, Remodels, & Accessory Structures
__
BEST M~OD OF CONTACT:
LOCATION
& PRO.1ECT
BUILDER'S EMATL ADDRESS
~PHONE
SUBDIVISION ~ SECTION
: CONSTRUCHON
STATE
ZONING:
PROVIDER:
NAME OF UTILrI'y EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / I~ DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~J IIF APPLICABLE):
ESTIMATED COET OF CONS~UCTION:
(EXCLUDING IJLND VALUE)
TOWN HOME
TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL(For
Additions, Remodels, Etc.)
Permit:
Does any part
[~ NEW STRUCTURE
[] ROOM ADDTTION(S)
PORCH ADDITION(S)
[] REMODEL
[]] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A1TACHED GARAGE
[] DEMOLITION
APR 20{}5
Ucense #:
I Residential Code w/Zndiana Amendments
[] Uniform Plumbing Code w/Zndlana Amendments
(Multi-Family Construction Code)
FOU -- NTYPE: (Check all that apply for the new
[~OB~ST & BEAM
EMENI ~
WALKOUT. Y I/N
Under Slab
by the Deparunent of Communtt
Filing Fees: ~
Base Inspections: ~~
Charg~
#
Reviews
Cert. of Occupancy:
P.R.I.F,:
Additional