HomeMy WebLinkAbout05050045-ApplicationBUZLDER of
RECORD:
LOCATION
~NPRO3ECT
FO:
NAME OF
City of Carmel~Clay Township [~) Permit #:
RESIDENTIAL IM]PROVEM]ENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME PHONE FAX
SUB-'-'~IV~$~ON NAME - SECTION I ZONING:_
~ I ~sn~ cost OFCONSr~u~m:
~INGPROVIDER: ~.;~ ~lr~/- (EXCLUDING LANDVALUE) ~LAND VALUE) ~1~ ~~~
PLUMB_~NG CONTJ~A_.~
P
ON
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DEMOLITION (Multi-Family Cons'm~O~e~jA
Manufactured FOUND - -: N ~P : (Ch~ all ~t app~ ~r ~e
Ear~ ~1~ ~on ama)
Pe~it: .Y ~N Tm~: Y ~N 0 C~W~PACE 0 ~ & B~M
Lot Split: ~ ~N Sump Pump: ~Y N 0 S~B
~, addi~ons, rmodds, ~or acc~so~ s~cm, ~s p~t ~ v~d o~y ff consmc~on co~c~
or alteration of a structure, or any ch. ange in the use of land or
~pplicable laws of the State o£ I~dians. ami the Zoning ordinance o£ Cannel
~ of I.C. 36-7 et seq, General Assembly of the State of Indiana. and allAcm amendatury
kitchen, bath, and floor ctr ahns am com~ectecl to the sanitary sewer. 1 further certify that the construction will not be
~errJ~cate o£Occnpanc?has been issued by the Department of Community Services. Carmel. Indiana,
OFFICE USE ONLY: ******************~
Base Inspections: ~7 ~ar.ged Re-
P.R.I.F.: '~'-~')
Fee Received