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Permit
APPLICATION
Addiflons~ Remodels, Tenant Finishes, & Accessory Buildings
BUILDER'S EMAIL ADDRESS
PHONE
CITY
FAX
PROPERTY
OWNER:
LOCATZON
& PRO3ECT
INFO:
STREET ADDRESS
,,DD SS CONSmUCnoN
;hell Building (If di~t ~an A~ of ~n~u~n)
PHONE FAX
1
SUITE #~L~t(If Appli~le)
ZIP
STATE COMMERCLAL
DESIGN REL~ #:
FDN 0
)id PLUM SQUARE
FOOTAGE:
ESTliV~TED COST OF CONSTRUCT/ON:
(EXCLUDING LAND VALUE)
COUNTY WELL AND/OR SEPTIC
l?
(Pdv~ owned hospitalS
and medical offices/centers
am commercial)
[] INEITrUTIONAL
0 Munidpai/Public BIdg
[] School
--p i p _,
[] NEW STRUCTURE
[] ADDitION
[] Room(s)
[] porc~
[] Mezzanine or De~:k
NEW ~ ~N~H
A~SOEY BUI~ING
E
A~ACHED
~' ~ ~ C~WLSPA~ ~ C~WER(N~)
~ S~ M ~ EM~ 0 CELL TOW~ ~L~
Early ~elease
Permit: Y
Lot Split: Y~N Sump PumP:
p - Iii _NT ' ;=:
Plumber's Indiana State License #:
INSPECT/ONS REQUIRED:
Under Slab
=fling Fees:
Base Inspections:
Cert, of Occu[
~.Charged Re-
Reviews