HomeMy WebLinkAbout05090097-ApplicationC~ty of Carmel/Clay Township errnit
For Single Family, Multi-Family, & Two Family: New $~, AddiUons, Re~els, & A~ ~u~
PROPERTY
OWNER:
NAME · PHONE FAX
LOCATION
& PRO3ECT
INFO:
LOT # SECTION
SQUARE
PROVIDER:
___~N
Lot Split: ~Y ~ N
Does any part of the propert~
Manufactured
Trusses:
Sump Pump:
PROVIDER: (EXCLUDING LAND VALUE)
N~RU~URE '~- ~ ~O
Pl~m~s ~ndiana S~ U~n~
A~ESSORY BUILDING wh~ plumbi~ ~ will ~ appl~
~ D~ACHED GAUGE ~[n~maflonal R~de~al ~e w/[~iana ~endmen~
~ A~ACHED GAUGE ~ Uni~ Plumbing C~e w/Indiana Amendmen~
~ DEMO~ON (Mul~-Family ~n~on ~e)
FOU~~: (Ch~k all ~t app~ ~r ~e n~
Y ~N ~n~on a~)
~ ~EME~
WA~O~:. Y~N
tcacture permits are subject to the General Administxa~ive ]
time f~ames for bcginnin~
!landor
struccares requested by this application will comply with, and conform to,
Indiana - 1993' (Z~289) and amendments, adopted undc~ authority of I.C. 36-7 cc scq, General Asscrabl)
thereto. I further certify that only kitchen, bath, and tioor drains a~c cormected to thc sanitary sewer, I further c
usc~oc~e~pic~t~ C~cate o[OccuFanc~'has bccn issucd b.Z thc Department of Comranrary S~rvices, Cannel,
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~NSPEC~ONS REQUZRED: ~ Y:~ ~- ~ - ~'7~ ~-~: d~A # Cha~ed ae-
~ Base~nspecbons: ~ ~ ~ R~ws
Cert. of Occupancy: ~ :~
P.R.I.F.: ~ Additional Fees-