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HomeMy WebLinkAbout05090156-ApplicationOWNER: BUILDER'S EMAIL AODRESS NAME b-r ~ET .~DR~S Permit # ON For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PHONE FAX & PRO3ECT INFO: PHONE CRY [] SINGLE FAMILY C] TOWN HOME [] TWO FAMILY # of units: C3 ~UL~-FAMILY J # of Units: ~ RESIDENTL4"~'( For Additions, Remodels, Etc.) SQUARE PLAN COMM]SSION/ BZA / BPW DOC~'T NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERM~ #'S (IF APPLTCABLE):~'~ TYPE OF~MP '- '1'_. [] NEW STRUCTURE _[]./,'ROOM ADDITION(S) ~ PORCH ADDITION(S) O REMODEL C] ACCESSORY BUILDING DETACHED GARAGE [] ATTACHED GARAGE DEMOLT~ON Manufactured Trusses: Does any part of the Indiana 8EP 3 2005 #: Which plumbing codes will [] IntemaUonal ResldenUal Code w/Zndlana Amendments ~ Uniform Plumbing Code w/Indiana Amendments (MuiU-Family Construction Code) r:~i~[~L~: (Check all that apply for the new cons~uction~ ama) rJ2F CRAWLS.PACE [] POST & BEAM [] SLABy ~ [] BASEMENT / WALKOLrr: Y ~""N_ m ~ the sanitm7 sewe~. If r cerrJf7 that the construction will not be e Department o£ Community Sc~ccs, Carmel, Indiana. =r AuUmHzed Agent Print I Date Meter Base r ~n~F -~ Site Reviewed/Approved: Dept. of Community Services (Date) ~: Pemllts/Forms/ILP RESIDENTIAL Cert. of Occupancy: P.R.I.F.: Rev Jews AddJUonal Fees