HomeMy WebLinkAbout05040168-ApplicationCOMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commerdai or TnstituUonah New S'-~uctures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PROPE,R. TY
OWNER:
COUNTY WELL AND/OR SEFTIC pEENJT #'S (If Applicable):
BLDG, CONb-rI~JC'I'ION TYPE:
which
CRAWL SPACE
C~ BASEMENT
PIER) WALKOUT: Y N []
C] NEW STRUCTURE
[] ADD'f ION
[] Room(s)
[] Porch
[] Mezzanine or De~
[] REMODEL
~ NEW TENANT FLNISH
C] ACCESSORY BUILDING
[] DETACHED GARAGE
I--~ ATTACHED GARAGE
[] CELLTOWER (New)
C~ CELL TOWER CC~LOCATE
DEMOLrHON
Early Release
Lot Split:
Sump Pump: Y ,~N
~ special Flood
Plumber's Zndiana State License
5ta~ of Indiana (See 675 IAC 12) regarding expi~ation time frm-nes for
and/loc
construction will not be used or o
Agent
Site
OFFXCE USE ONLY: ********************************************** '********:
%NSPECT%ONS REQUIRED: Filing ~ees:
Base Inspections:
Reviews
Additional Fees
(Date)