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HomeMy WebLinkAbout05050202-ApplicationPermit # New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings NAME PHONE PHONE FAX STREET STATE ZIP ADDRESS OF CONSTRUCTION SUITE # (If ADblicable) //x?/,~ ~d~ ~ Shell Building (If di~t ~an Add~ ~ ~n~n) ~t · and Su~sion (If ~pl~able] SCOPE(S) WATER bT~UTY PROVIDER: PLAN COMMISSZON / BZA / BPW DOCKET NUMBERS; AND/OR COUNTy WELL AND/OR SEPTIC PEP, NIT #~ Of Applicable): # of Room: JR: [~ YES C3 PLUM EST[MATED COST OF CONSTRUCT]ON: (EXCLUDING LAND VALUE) ~.~ ~c subject co the designation area: Plumber's Indiana State License #: f with, and conform to ~he Departme~ OFFZCE USE ONLY: ************************************************ INSPECTIONS REQUIRED: Filing Fees: Under Slab Base Inspections: ~te Cert. of Occupancy: # Charged Re- Reviews Additional Fees