HomeMy WebLinkAbout05050177-ApplicationBUI'LDER of
RECORD:
Ci~ of Car~el/ Clay Township ~ Permit #~__
'APPLICATION
For Single Family, Nulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
~T~
PHONE
SUBDIVISION
& PRO3ECT
t'NFO:
S~WER UT~LffY WATER Lr~ L~TY
PROVIDER: ~L.~ ~) PROVIDER: ~
~E ~ ~ ~VA~ON C~; ~ ~MM~I~ / B~ / B~ ~
NUM~; TAC DA~S); ~D/~ ~U~ WE~ ~D/OR SE~C PE~ ~ ~F A~B~:
(~XCtUm~G t.~,NO VALUE)
HOME
~ FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENT~L (For
Add~ons, Remodels, Etc.)
--- -_=~M R ,V-Z_ ENT:
~EW STRUCTURE [] ROOM ADDITION(S)
[] PORCH ADDITiON(S)
[] REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLt-iTON
(MulU-Famil~
Permit: Y ~N
POST & BEAM
WALK~
I within 18 months oftha
Rules of the State of Indiana (See 675 IAC 12) regarding expiration
of landor
adiana, and the 'Zoning ~ce of Ca,md
t~e State of Indiana, and all Acts amendatory
further certify that the construction will not be
· Services. Carmel, Indiana. [ /
OFFZCE USE ONLY: ***************:
TNSPECTIONS REQUTRED:
~ng Fees: __~
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