HomeMy WebLinkAbout05090192-ApplicationOWNER:
LOCATION
& PROJECT
1'NFO:
\
, IMPROVEMENT LOCATION I ERMIT APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
STREET ADDRESS ~
BUILDER'S EMA~L ADDRESS ~ ~ ~ 1 BEST M ~ETHOD OF CONTACT:
NAME ~ PHONE
E~D ~ ~ C~ON:
(~UD[NG ~D VALUE)
FAX
7JP
FOOTAGE:
TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
Lot
Y WELL AND/OR SEPTIC PERMIT #'S
- E- - R - =, :
REMODEL
[] DETACHED GARAGE
[] A'FI'ACHED GARAGE
[] DEMOLTTION
lie within
Which plumbing codes will be applied to Ute construction:
[] ][ntemational I
[] Uniform Plumbing Code w/]Indiana Amendments
(MulM-Family Construction Code)
(Check all that apply for the new
[] POST & BEAM
[] BASEMENT
WALKOUT: Y _N
msuance date. Class I stencmre permits are ~
smctum requested by this~ apphcation will comply v~th, and co. nform ?, all applicab~te laws of the State ~ ~a~e z, en??, ~t~ ance °,t 't ~_a~n-
Indiana - 1993" (Z-289) and amendments, adopted under aut?nty of 1.C. 36-7 et s~q., General Assembly ot me State,or Inroad, a, aha a~ a,c~ ame~.,oa o~r~,
thereto. I futthec cextffy that only kitchen, bath, and floor drams ate connected to the samtsry sewer. I further certify that ene con~stract~on wm not De
I~NSPECT[ONS
Site
Services (Da~e)
/O'~ O0 #Charged ~
Cert, of Occupancy: __..~
P.R.I,F.: Additional Fees