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CITY OF'C ,
AIt1GIEL / .CLAY TOWNSHIP �"�' PERMIT # 13oZoa:6l
i RESIDENTIAL IMPROVEMENT I.00ATION•PERMIT APPLICATION Sewer / Water Utility'
�Nul.x For New Structures, Additions, Remodels,and Accessory Structures Permit # 1302.006O
hILDER, 'NAME „ " PHONE FAX
CORD. 2945 4e1044/.14t !`4/ I/ �/ S/11 E /( ZIP l-
E-MM�AIILLL ADDRESS•, �i/ESE /I�i� BEST METHOD OF ��
/A tc •a/tn//YI e d�I!!//� S /SLY// CONTACT
JMBING NAME STATE OF INDIANA PLUMBI CODE
NTRACTOR / /,//�//J///q•{//�J /A LICENSE NUMBER
L 21 /J/N//// ' �/ IRC ❑ UPC_
OPERTY NAMa pay. / P O E
VNER bKeS 8-5 FAX -7 27y ,
.
STREET ADDRESS, , ". CITY iu_...STATE
ZIP
//Q24ker t e,ea1/ L 4/ 2/ /0,_32
OJECT LO�""UM ER , / /SUBDIVISION AME 4 /SECTION
CATION m Vic/i#e Q �ES/ /G�C /�dr
STREETADDRESS - - C STATE ZIP
T MAP PARCEL'NUMBER - ZON FLOOD,ZONE/S ,
1`7.09-a9• •-Is. 049' Oo() 14. F O 9NE //
❑P
SPLIT �NO, �lr/i 4) 7 WATER 4 enzi UTILITIES EXCAVATO . / 1g
PE OF TYPE OF ONSTRUCTION MASTER PERMIT FLOOORR�PLAN
RMIT NGLE FAMILY ❑ TWO FAMILY 0 TOWNHOME ❑ YES LYNO
TYP IMPROVEMENT I� (� , p ppp�� EARLY RELEASE
LYNEW STRUCTURE / 0 REM �C `h F J iT1 jHE@ i.. +13E ❑ ACCESSORY BUILDING YES NO
❑ ADDITION, ❑ Room/5 ❑,Porch O Deck ❑ BA' FIN H DET CH /•'E ' ❑ DEMOLITION
OJECT PLAN COMMISSION/BZA/BP,WIDOCKET NUMBS AND/OR +ESTIMATED C.• l SQUARE.FOO GE
TAC.DATE/S FEB `EXCLUDINGUt" o�'l� 5 c 2 ..3
PLAN/, TYPE OF FOUNDATI N MANUFACTURED SUMPIPUMP PORCH
D 5J E-MAIL. 171 SLAB BASEMENT-❑WALK OUT TRUSSE
❑ CRAWLSPACE POST&BEAM ❑ POS'�Ip1FR YES (•J NO �S'ES 0 NO S 0 NO
(ZrT _ A(NIC ..
ATE& RDARCHLCCKU OF CDR NUMB RELEASE DATE C STR CTION TYPE OCCUP Y CLASS
TYPED LEASE P M Q SPKLR .❑ ,OT we ' C
o S ngle Family and ltvo lam lv D rllings this permit is valid only if c nstruction comme QQ,.gy��.pp((°°11��°° 7 �l9s off the'date of issuance-of this permit and
nust be completed,having the Certificate i f Occupa,cy issued,within 18 n the f WI'lsse l C I St P rmrts are subject to the State
yy��,�t,. e
tf Indiana General Adminislrahve Rules(CAR 675 IAC 12)regarding exp ra[o i_�es t3 '$$0�\Ii, �1t 1)1,tt nstruct on
[M1 undersigned,agree that any construction,reconstruction,enlargement • c Ydd a g/'fli 1 yyrrtRRr-r-tt,ry�ry change m lh use of land'or
tructures requ t d bv:this application will comply with and nforin to alTapisSA � let�I� Mudd the Zoning Ord n of Carmel
Indian .1999 (Z 9)and amen ti adopted unde authority of I.C.36-7 et s q C bly Stal 1 Indiana,and all.Acts amendatory
hereto. I further c I tifv Lnehc bath,and floor drat iarc eonneeted� r Wit. P t. er certif.) that the construction.will not be
r d or occupied ;I�� ate of Occupancy has been issued by the Depart td `; u` ii,. ,.',Cain 1,Indiana:
, , •24_45_
vgn. of er r?tharized -nt Printed ame - Da
R QUIRED BASE INSPECTIONS"* PERMIT-FEES (
*'Additional ins ctionsmay,be required. Filing/-Review 1�'13. 48?).. Re-Review
�// ,_,(/, Base Inspections. .3 ( 5v Do
VJ Ower•Footing ough-In �VJ nal , O
Cert.-of Occupancy Other
:UpperFooting 'Meter Bak Site
P:R.IF..
❑ Unclerslab ,I,�.r.�., ,�„(� I t 3
/
l �3 r e�l Gti� 02- 1-1, IS
"° R eel 1 Department of 6onit im u),Services
D t'
R ,r d/Rele�d D patme tt of Comrnump ST,ce ate ,.,I --.
Last W upal I
F n ppl lion A Red I aIULP'Appl tiTI 009.08' " -