HomeMy WebLinkAbout05100041-ApplicationCity of Cannel~Clay To~ship
COMMEKCIAL or INST.I.T,.U, TIONAL IMPKOVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional. New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
FAX
of ~'7 ~
than Addres
FAX
SU1TE # Of Applicable)
(If Appiical~e)
STAT~ COMMEROAL
DESIGN R~LEASE #:
WA~R ~I~L~I~
PROV/DEP~
SCOPI~S) OF o FDN
SEWER Lrl/LITY
PROVIDER:
OTHER(S):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
AND/OR SEPHC pERMiT #'$ (If Applicable):
y _N
Y~'N
Sump Pump: Y Y- ~N
Hezzanlne or Deck Does any part of Ute property lie within a special Rood
REMODEL
[] NEW TENANT RNISH designation area: Y ~ N
DETACHED
C~ CELL TOWER CO-LOCATE
[] DEMOUT~ON
Plumber's Zndiana State Ucense #:
lAC 12 ) regarding expiration time fnunes for
Date
Under Slab
Base Insped:ions:
Reviews