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ELECTRONICALLY RLE YOUR PROJECT WITH STATEOF INDIANA AT
.~,'~'Z~ ate
~;~.~ CONSTRUCTION DESIGN RELEASE
"~/~ ,~. State Forn~ 41191 (~/5-98}
Indiana ~partment of ~m~land Security ~
Type of release~ --
SUPPORT ~OSI~ SA~Y
~glneer K~S
tlNDIANAPOLIS IN 46202
ax & e-maih 3172660468, m tam son{~lamsoncondon.¢om
14159 CLAY TERRACE BLVD
City
CARMEL
not necessarily li~ted to. the
plre by lin~ation, and
copy o~
A1AA
A1AB
Flease be ~
~ under penattles of per ury in the application for construction design re ease the plans
II, omply with all of the applicable rules and law s of Fire Prevention and Bui~ling Safety
~ an act of per'fy, which is a C~ass D feicny punishable by e prison term and a~fine up ~o $10,000~
lAC 12-6-t9) e complete set of plans and specifications that conform
s of the state buildklg con3'nissioner shall be maintained on the construction jobsita as w ell as a
5 lAC 12-6-14,
f as
at the
flied at the above address with the
DEPT OF COMMUNrr~ SERVICES
JEFF KENDALL
ONE CIVIC SQUARE
CA RME~. IN 46032
[or review is nol filed, this
(317) 375-tllt
www. CCBrandt.com