HomeMy WebLinkAbout05090163-ApplicationPermit
APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
STRE~T~DDRESS
9 O, 'go>~ 735'
~mw~R,s E~L
BUILDER of
RECORD:
PHONE
FAX
BEST METHOD OF CONTACT:
LOCAl/ON
& PROJECT
INFO:
NAME FAX
~BD~SION~~D~}~E ~S~ON ~ZONING:
~TAGE:
NAME OF UTILITY ~XCAVATION CONTRRCTOR; PLAN COMMISSION / BZA / ?W DOCI~T
NUMBERS; TAC DATE(S); AND/OR PERMIT # S (IF APPLICABLE):
(EXCLUDING LAND VALUE)
PL -: -- G CONTRACT R:.'
CE]
E : TN- _' =--:
EaHy Release
GARAGE
GARAGE
[] DEMOLITION
Manufactured
Which plumbing codes will be applied to the construction:
J~ntemational Residential Code w/Indiana Amendments
I~ Uniform PlumbingCodew/ZndianaAmendments
(Multi-Family Construction Code)
F~: (Check all that apply for the new
construction area)
[] POST & BEAM
[] BASEMENT
WALKOUT: Y ~ N
a 18 montl~s of the
xmendatory
that the construction will not be
Services, Carmel, Indiana.
Print
OFFZCE USE ONLY: ********************** ********************* *********,
n
'ew /Approve: ~ o~Community Semices (Bate)
# Charc~ecl P~
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