HomeMy WebLinkAbout05100008-ApplicationPermit #
ForS
PROPERTY
OWNER:
LOCATION
& PRO3ECT
TNFO:
Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structuras
PHONE
SECTION
NAME(, ~
LOT # SUED~/~S]ON NAME
ADDRESS OF CONSTRUCTION
WATER UT~Lfl~'~O.UDiNG LAND VALUE)
4&o7 7
#of
# of Units:
BUILDING
[] ATTACHED GARAGE
[] DEMOLITION
Ep~Hy Release
rmit~ _Y Trusses: Y
Lot Split: _Y ~ Sump Pump: ~ N
Does any part of the property lie within a s
INGCONT - 'OR:
Plumber's Tndiana State Ucense #:
~n~maUonal R~denUal ~e w/Indiana ~endmen~
~ Uni~ Plumbing ~e w/~ndiana ~dm~
(Hub-Family ~n~on ~e)
FO;- --~ON~PE: (~all~tapp~for~en~
~on a~a)
~ C~W~PACE ~ ~ & B~
nonths of ~c
issuance date. Class I structure Ixxmits are subject to t
I, the undersigned, agree that any construction,
stzucturesrequestedbythisapplicauonwfll complyw~th, . lawsofthe ~.Itkli~a. and the. Zoning Ordinance of Cm:m
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construcuon will not be
used or pEcupied until a Cetrdt~cate o£Occupa~cy'has been issued by the Department of Community Services, Carmd, Indiana.
Under Slab ,~.., ,.-~ P. ev~ews
Cert. of Occupano/: ___~_/_~_~_._~
P.R.I.F.: · ~) 0 ^ddit~a; Fees
TOTAL: /7/0
,f Community Services