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13050007 Receipt/Permit
CITY OF CARMEL 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: nmishler COPY # : 1 Sec.:. .Twp:•18 Rng:04 Sub:011 B1k,:20 Lot :160 PARCEL ID • 1610200407053'000 DATE ISSUED - 05/07/.2013 RECEIPT # - BC000005399 REFERENCE ID # . . . : 13050007 SITE ADDRESS • 806 ARROWWOOD DR' SUBDIVISION . . ...... . : SMOKEY KNOLL CITY CARMEL IMPACT AREA OWNER • THORNTON ADDRESS • 806' ARROWWOOD DR CITY/STATE/ZIP . . . : CARMEL, IN 46032 RECEIVED FROM • SEGO, JAMES' T CONTRACTOR • SEGO, JAMES;'7 ID-SEGOJAM COMPANY . . r. ... . . . . . : SEGO., JAMES'' T ADDRESS - 5211 E: ;256TH ST CITY/•STATE/ZIP . . . : ARCADIA; IN, 46030 TELEPHONE - • (317) 502-6538 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL IRESFINAL PER INSPECTIO 1. 00 64 . 00 .0 .00 64 . 00 0 . 00 IRESFTSLB PER 'INSPECTIO 100 64 .00 0 .00 64 . 00 0 . 00 IRESROUGH PER INSPECTIO ',100 64,. 00 0 . 00 64 . 00 0 . 00 RESADD SQUARE FEET 196'. 00 178.48 0 . 00 178 .48 0 . 00 RESC/O FLAT RATE 1.. 00 62 . 00 0 . 00 62 . 00 0 . 00 TOTAL PERMIT : 432 .48 0 . 00 432 .48 0 . 00 METHOD OF PAYMENT -AMOUNT REFERENCE NUMBER CHECK 432 .48 9168 TOTAL RECEIPT : 432 .48