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13050006 Receipt/Permit
CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: plux COPY # : 1 Sec : Twp: 17 Rnq:03 Sub:353 BIk: 12 Lot : 252 PARCEL ID • 171312010202900.0 DATE ISSUED 05/07/2013 .RECEIPT # . _ . . ... . . . : BC000005394 REFERENCE ID. # . . . : 13050006 SITE ADDRESS • 10456 N COLLEGE AVE SUBDIVISION - HOME PLACE CITY • INDIANAPOLIS_ IMPACT AREA OWNER NORTHSIDE DENTAL CARE ADDRESS 10456. N COLLEGE AVE CITY/STATE/ZIP . . . : CARMEL, IN 46280 RECEIVED FROM - CB WALLS CONTRACTOR • CB WALLS ID-WALLCB COMPANY - CB WALLS ADDRESS 3631 BAY RD CITY/STATE/ZIP INDIANAPOLIS, 'IN 46240 TELEPHONE • (317) 331-3631 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL CIIC/O FLAT 'RATE 1 . 00 125: 00 0.. 00 125. 00 0 . 00 CIIREMOD SQUARE FEET 8, 000 . 00 1932 .50 0 . 00 1932 . 50 0 . 00 ICIIFINAL PER INSPECTIO 1 . 00 116 . 50 0 . 0.0 116 . 50 0 . 00 ICIIROUGH PER INSPECTIO 1 .-00 116.. 50 0 . 00 116 . 50 0 . 00 TOTAL PERMIT : 229.0 .50 0 . 00 2290 .50 0 . 00 METHOD OF :PAYMENT AMOUNT REFERENCE NUMBER CHECK. ,2., 290 . 59 16240 TOTAL RECEIPT : .2 , 290 . 50