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05070086-Application
~SIDENTIAL IMPROVEMENT LOCATION PERMIT ~PLICATION For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures NAME BUILDER of RECORD: LOT # STATE METHOD OF CONTA~C~I': F ZIP t HOME [] TVVO FAMILY # of units: ~ MULTI-FAMILY __/ # of Unit~: L~ RESIDENTIAL (For Additions, Remodels, Etc.) N= - : : D NEW b-FRUCTURE __ ROOM ADDITION(S) Plumber's Xndiana State License #: O PORCH ADDITION(S) ~ C ~ $ ~ 0~,5" ¥ J [] REMODEL -- -- C] ACCESSORY BUILDING Wh~l~plumbingc~leswillbeappliedtotheconstrucUon: C~ DETACHED GARAGE ~ International Residential Code w/Indiana Amendments ~ ATI'ACHED GARAGE C] Unifi)rm Plumbing Code w/Indiana Amendments [] DEMOLITION (Multi-Family Const;uction Code) g:rlv R~l,~q~ / ~ ManflfAr~,epd ~/ ~J~I~L~: (Ch~ all ht app~ ~r ~e new . / Lot Split: y ~N Sump Pump: ~e f~ for ~ng ~d c~ple~ng correction. I. ~e un~, ~ ~at ~y co~cdo:, ~as~c~on, $~c~ ~:~ by ~ app~cadon ~ comply ~, ~d co~o~ to, ~ - 1~" (Z-28~) ~ ~, a~pted u~ au~od~ of I.C. 36-7 et ~, G~ ~se~ly of ~e State of ~ ~d ~ Ac~ ~to~ · ~to. I~ c~ ~at~ ~, ba~, ~d ~r ~ ........... . Fi lng ~s: ./ iD,. ..... unaer ~lao / ~ ~. ~ ~ K~le~ CeK. of ~cu~nw: Me~r ~ [.F.: