HomeMy WebLinkAbout05090022-Application CarmeH Clay Township Perm~ ~~
RESIDENTIAL IMPRO._V~ ~N~_~ LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structeras
~ ~ PHONE FAX --
RECORD;
PHONE
LOCATION LOT # SUBDiV~]ON NAHE SECTLOfl
& PRO3ECT -- -- --
INFO:
FAX
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KFATE
~ONIh~:
FOOTAGE:
PRo~: Ld6LL
NAHE OF UT[LTTY EXCAVATEON CONTRACTOR PLAN COMMISSION 1 BZA / ~PW ~
NUMI~RS} TAC DA'f~(S)} AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # $ (IF APPLICABLE):
EST[MATED COST OF CONSTP. UCHON:
(EXCLUDING LAND VALUE)
SINGLE FAMILY
TOWN HOME
TWO FAMI,L.Y
# of unitS:__
Permit:
Let Split:
Does any part of the
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
~ACHED'GARAGE
Y N
Plumber's Indiana
Which be applied to t
E] Uniform Plumbing Code w/Indiana Amendments
(MuiU-F~mily Construction Code)
-_": - P :: (Check all that apply for the new
construction area)
[] CRAW~SPACE [] POST & BEAN
'-~ SLAB [] BASEMENT
Y N WAU(ourr: Y N
Filing Fees:
REqUXRED:
Under Slab
Rough In Meter Base Final
# Charged Re-
Reviews
Additional Fees
[ESIDEhTIAL