HomeMy WebLinkAbout05070142-ApplicationCity of Carmel~Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Famlly, & Two Family:'--;:'" New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of ~~ ~
RECORD: --
SLATE
BUILDER'S EMAIL ADDRESS BE~-F METHOD OF CONTACT:
FAX
OWNER:
I NAM~ ~ PHONE . FAX
QTY STATE ~P
SEWER U WATER UTILTFY
PROVIDER:
NUMBERS; TA(
#'S (~F APPLICABLE):
MBZ CONTRA ·
E
Plumber's Indiana State License #:
3 DEMOLITION
Which plumbing codes will be applied to the construction:
Uniform Plumbing
(Multi-Family Const~uction Code)
JNDAT'ION TYPE:
· at apply for the new
ON
a~d P~KOOT~Y N
OFFZCE USE ONLY: ******~
Hling Fees: ~
Base Inspections: # O)ar~ed Re-
Cert. Of Occupancy: Reviews
P.R.I.F.: Additiona"'~'~s
Services (Date)