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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 [] 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