HomeMy WebLinkAbout05050211-ApplicationPermit #:
RECORD:
· Znstitutionah New Structures, Additions, Remodels, Tenant Finishes, & Accessory
STREET ADDRESS
BEST ~ETHOD OF CONTACT:
PHONE FAX
A~dress of Shel Building (If different than Address of Construction) Let # and SubdMsion (If Applicable)
ZONIN6: TAX MAP PARCEL #:
scoPe(S) OF
RE~: 0 ELEC o SPKH
PLAN COMMISSZON / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERNTr #'S (Jr Applicable):
ft: NO
P~ER)
L SPACE
WALKOUT: Y N
ADDTFJON
Room(s)
Porch
Me~anlne or Deck
REMODEL
~RAGE
[] ATTACHED GARAGE
[] CELL TOWER (New)
[] CELL TOWER CO-LOCATE
O DEHOLr~OI~
'e Rule~ of the
Release ~ Manufactured
Permit.' _Y ' N Trusses: Y N
LotSpllt: Y_~_N SumpPump: Y_~
Does any part of the property lie within a special Flood
designation area: ~N
Plumber's Indiana State Ucense #:
Services, Carmd, Indiana.
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(Date) Fee ~
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