HomeMy WebLinkAbout05070161-ApplicationCity of Carmel/Clay Township
For Commercial or
Permit
Remodels, Tenant Finishes, & Accessory Buildings
FAX
PHONE FAX
SUITE #
Address of Shell Building (If different than Address of Construction)
Lot # and Su~dN~slon (If Applicable)
TAX MAP PARCEL #:
STATE COMMER(3AL
c~ FDN
RELEASE: ~' ELEC
SEWER UT[LrrY
PROVIDER:
AND/OR
ESTIMATED COST OF CONSTRUCT[ON:
(EXCLUD]NG LAND VALUE)
OCCUPANCY C!.A~SIF[CAT[ON:
are
NEW STRUCTURE
ADDTr~ON
[] Room(s)
Lot Split:
:of the
designaUon area: Y.
PO~TI' & BEAM C~ BASEMENT
(or POST & PIER) WALKOLJT: Y N
L-T. LL TOWER CO~LOCATE
C~ DEMOI-T~ON
Plumber's Zndiana State License #:
f the State of Ia~ (See 675 lAC 12) regm'dlng expiration time ~ for
~e ~ ~e u~ of~ or s~cm~
ppHcable Nws a[ ~e Sta~ of ~a, ~d ~e ~n~ ~ce of ~el I~a - 1993" (Z~
' o[ I.C, 35-7 et seq, G~e~ ~bly of ~e State of In~ ~d ~11Ac~ men~to~ ~e~to. ~ ~er 5er~ ~at o~y
~er c~ ~t ~e com~c~on ~ not ~ us~ or ~cupi~ ~ a C~te of
y ~e ~p~t of C~W ~c~, ~, ~
P~nt
OFFICE USE ONLY: *************************************************
INSPECT/ONS REQUIRED:
Upper Footing Under Slab
Site
Filing Fees: # Charged Re--''~-
Base Inspections: Reviews
Cert, of Occupancy: ~O ~
· .,~' ~ I ~ J ~ I~ Add't:io a Fees
TOTAL, , ,.u. __ /