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05050171-Application
RECORD: Permit #: For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures EMAIL ADDRESS m FAX ~P ~ ADDRESS LOC, AT[ON & PRO3ECT ZNFO: PLAN COMMISSION / BZA / BPW DOC~:T ATE{S)~ AND/O~ COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE}', SECTION (EXCLUDING LAND VALUE} ~ ~"~ ~ O, Cx~ C) Early Release Permit: _Y _ vi ADDT1FiON(S} Which plumbing ~od~ will be applied t~ the cons~on: ~' ~ntemational Residential Code wHndiana Amendments [] Uniform ~umbing Code w/l[ndlana Amendments (Multi-Family ConstrucUon Code) N · .~ [] CRAWtSPACE Pump. x. y N SLAB [] POST & BEAM [~ BASEMENT WAU(OLrr: _Y ~,~ N OFFZCE USE ONLY: ****************************************** INSPECTIONS REQUIRED: Re- Reviews (Date) ~I,1E~ompl,anc Additional Fees