HomeMy WebLinkAbout05070255-ApplicationRECORD:
Permit #:
RESIDENTIAL IIV[PROVEMENT LOCATION TION
For Single Family, Multi-Family, & Two Family:'--;'" New Structures, AddiUons, Remodels, & Accessory Structures
BUILDER'S EMAIL ADDRESS ~ M~THOD OF CONTACT:
LOCATION LOT # j, SUBOMS1ON NAME SECHON I ZONING:
INFO: ADORE'SS OF~ CONSTRUCTION ---- I S~UARE
SEWER UTILITY NSTRU---~ON: ~__ .~
...... 25 ~1~ OOc) _
NUMBERS; TAC DATE(S); AND/OR COUNTY ~ AND/OR_ SEPTIC PERMIT #~ ClF APPU i ~ {~_~{{~
~ SINGLE FAMILY ~NEW STRUCTURE ~e~<3~AgC~-
~ TOWN HOME State License #:--
[] TWO FAMILY
# . . [] PORCH ADDITION(S) ~ I. C~ ~ 0~0....~._~
of umts. [] REMODEL --
MULTI-FAMILY [] ACCESSORY BUILDING which plumbing cozies wilh
# Of Units:__ [] DETACHED GARAGE [] Xntemational I
RESIDENTIAL (For [] ATTACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION ~j
Y .~ Manufactured
:: N Trusses:
Lot Split: Y _~_N Sump Pump:
Does any part of the preperD/lie within a s
__Y ~N
~Y N
additions, remode~
construction area)
[] CRAWl-SPACE
[] SLAB
issuance ~ r~ng expiration
e construction will not be
s been issued Services, Carmel, Indiana,
OFFICE USE ONLY: *************** **********************************
· ~j/Rhrl~ Fees. ~?~£~ / Q
- . / j~s~ginspections: ~ # c;2_~
, 0 p cy.
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