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13040182 Receipt/Permit
1 CITY OF CARMEL • - . 5 ITEMS, OF ,5: PERMIT RECEIPT OPERATOR: plux COPY # : 1 Se-o35 TivE18 Rrig: 031 SUb': 903 Blk: PARCEL 1p . . . .„ . : 1709 5010201700Q DATE ISSUED • 05/07/2013 RECEIPT PP: 2.9,995388 RERERENCE ID # 1364.6116 SITE ADDRES • 365 PINTAIL CT SUBDIVISION • SPRING: :LAKE ESTATES - • . . . . IMPACT AREA OWNER COLE, GARY ADBRESS . . . . . WS: PINTAIL CT CITY/SO ATE/BIR CARMEL( IN 46032 RECEIVED:EROM . .- . : AMERICAN, SUNSPACE CONTRACTOR, . . . . . pRovo, MICHAEL ID-PROVMIC 'COMPANY PROVO MICHAEL PbANE1466D. I5R. CITY/STATE/ZIP INDIANAPOLIS, IN 46235 tS741 536-4455 FEE ID UNIT QUANTITY- AMOUNT. PD-TO-DT THIS-.REC NEW BAL IRESFINAL PER INSPECTIO 1 00 S400 0 ;00 64 0 p, 00 IRESFTSLB PER INSPECTIO 1 . 00 64, 66 o . 00 64 . 66 o. 00 fRESEDDGH PER INSPECT:0) 1 . 66 64 . 00 0 .0.0 64_00 0 . 00 RESADD, SQUARE' FEET 196A0 178 .48 0 :00 178 .48 0 . 00•— usycy FLAT RATE' 1 . 00 62.. 00 0 . 00 62 . 00 . _ TOTAL PERMIT 432..48 UM) 432-.48 0 . 00 NETHOD,i0F PAYMENT AMOUNT REFERENCE: NUMBER CHECK 432,45 116321 • . TOTAL RECEIPT 432 .4S •