HomeMy WebLinkAbout05050042-Sq. Ft.ATTACHED PLOT OR S AT,ON IS
DEPARTNENT O ~ PLAN AS SUBNITTED WITH .S. HOWN COMPLETELy AND A
SHAU -= ..... F..COMMUNITY SERVicEs :,,~ .... A_ BUILDING PERMIT APPLF-~-r.,~, ~..CC__~RATELY ON THE
LEAD-FREE SOLDER THAT THE -7OIN~ RHEL-CLAy
PLUMBING COrem D :n,, ? AND FLUXEs. FAILURE TO CO LY~ OF ~T..ER SUPPLy PIPING
-- --.~,~=-;. MP ~LL RESULT ~N A REPLACEMENT
of per.JUlr~y (Indiana Code 35-44.2-1), Z hereby affirm under oath that all of the
and accurate to the best of my knowledge and
' omitted any information th
otherwise mislead the Dept. of Community Servic ........ at would tend
~ ,'~la~amg the t~uth of the
Unfinished)
Porch or
Sunroorn
NOTE: Add tJonal plans and/or information may be required, if submitted plans are not of sufficient clarity or detail, to
on, d~i, ncaatrectehs.e nature and extent of the work proposed and to determ ne compliance with all applicable codes and
,n add,t,on ~o ,~e abe~e. ,~e ,., d,n~ ~nspe~or w,,, ~e Pro¥,~ed w,~ an~ 'n~or~a,.on re,a,.¥e
?2~7~? ~"e ~on,n, ~rocess ~o. tbe ~ro~,n¥o,¥ed. T~,s wou,d,nc,ude an, P,a.'~omm,;s,o. '
'4UAPPLICANT'S: SIGNATURE:I PHON :
ADDRESS. E
: · . .4,6032 (317) 571-2444
s Perm~ts/forms/Perm~nfo Rev ~an 02 Rev, .lan. '02