HomeMy WebLinkAbout05090050-ApplicationNew Structures, Additions, Remodels,
5TATE
FAX
F CONTACT:
PROPERTY
OWNER:
PHONE
CITY
INFO:
Address of Sheil Building (If different than Address of Constru~on)
.If Applicable)
Lot # and Sulx~ivlslon (If Applicable)
DSTATECOMMERCIAL SCOPE(S) OF ~g~' FDN
ESIGN ~ RELEASE: CD EL~
MECH C~ PLUM SQUARE
3 SPKLR OTHER(S):__ FOOTAGE:
EST[NATED Cob-r OF CON,f RUCTION:
COUNT~ WELL AND/OR SEFFJC PERMIT #~S (If Applicable):
~ NEW STRUCTURE
C3 CRAWL SPACE C3 CELL TOWER (New)
BEAM ~] BASEMENT C:3 CELL TOWER CO-LOCATE
& PIER) WALKOUT:YN C3 DEHOLr~ON
Lot Split: Y ~
~- C] Mezzanine or Deck Does any part of file pl~operty lie within ~
Y .~:~N
PL ~-!N -: ;=-~ _'
DETACHED GARAGE
[] ATTACHED GARAGE
Plumber's Indiana State Ucense #:
, or any change in the use of land or ~
~ Conncet~d to thc sanitary sewer. I futthe~: !
tb~n issued by the Department of Community Services, Carm~;lndiana~
Print
Fi!lng Fees:
nspecuons: i.5'?
Additional Fees