HomeMy WebLinkAbout05080018-ApplicationCity of Cannel/Clay Townshil~ Permit #:__
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
crrY s-rATE ZIP
PROPERTY PHONE FAX
OWNER:
INFO: ~mr~U~
NANE OF UTILI'W EXCAVATION R; PLAN COMMISSION / BZA / BPW DOQ(ET ~ ' ~ I
wm ^.D/O. SEmC PE~rr #~ C~F ^~UC~): _ j
~ NEW STRUCTURE
[23 ROOM ADDITION(S) #:
[] PORCH ADDrr[ON(S) /
[] REMODEL
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:_
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
p~ ~-? - - ~_. :
Early Release
Permit:
[] A'FI'ACHED GARAGE
[] DEMOLtTION
Hanufacturod
Lot Split: Sump Pump:
Does any part of the property lie within a ~
[] Uniform Plumbing Codew/Indiana Amendments
(Multi-Family Construction Code)
[] CRAWLSPACE [] POST & E
[] SLAB ~EMENT
Y ~ WALKOUT: Y
OFF~CE
USE
ONLY:
Rling Fees:
ZNSPECT/ONS REQUIRED:
Inspections:
Cert. of Occupancy:
P.R.I.F.:
-Additional Fees
, Services