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05090224-Application
PERMIT APPLICATION For Single Family, Multi-F~lyifJb~l~i[l~b~ New Structures, AddiUons, Remodels, & Accessory Struc/*ures Fax 317,,84 2 ¥389 F CONTACT: PROPERTY OWNER: (EXCLUDING [AND VALUE) NANE OF UTL L[TY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW ~ NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE)' ~N~I~ ~HI~Y ~ NEW ~T~R~ [] DEMOLITION Eady Release Permit: __Y XN Lot Split: Y )~N Which plumbing ¢~/es will I~ applied ~m the cons~uction: [] Uniform Plumbing Code w/Zndiana Amendments (Multi-Family Const~ctton Code) (Check all that apply for the new [] POST & BEAM [] BASEMENT Filing Fees: __~. Base Inspections: Cert, of Occupancy: P.R.I.F.: TOTAL: Addition"ti Fees Se~,ices (Date)