HomeMy WebLinkAbout05050105-ApplicationPROPERTY
OWNER:
~ Permit#:O~~
'PERMIT APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
SEC~ON
LOCATION SUBDZVISXO. NAME
& PRO3ECT --
INFO:
SEWER UTILITY WATER 0TIL1TY
PROVIDER:
NAME OF LY~Lrry EXCaVATiON CONTRACTOR PLAN COMMISSXON I BZA / ~P~ DOC~'T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPT[C PERMTr # S (IF APPLICABLE):
TOWN HOME
TVVO FAMILY
# of units:
MULTI-FAMILY
# of Units:__
RESIDENTIAL (For
Additions, Remodels, Etc.)
[] NEW STRUCTURE
ADDiTION(S)
[] REMODEL
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
ZntemaUonal Residential Code w/Indiana Amendments
Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
.- ED CRAWLSPACE-- (~ POST &
;Pump: Y~ ~¢~ASED ¢OR ~
property lie within a special Rood dmsignaU°n a~[7~~,~co widw~lati°~ N
DNLY: ***********~
INSPECT~O
e sanitary sewer. I further
Base Inspections: # Charged Re-
Cert. of Occupancy: ~ · ~_~__ Reviews
P.R.I.F.: Additiom