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HomeMy WebLinkAbout05050207-ApplicationTmvnship 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