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HomeMy WebLinkAbout05110002-Application¢ity of Carmel/ Clay Township ~L~ ~ ~ermit #:~_~l I 00~ ?ERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: OWNER: LOCATION & PRO3ECT INFO: PHONE FAX STREET ADDRESS BUILDER'S EMA[L ADDRESS CITY STATE ZIP '~<~,~ o~//~ /~a y~7 7 BEST METHOD OF CONTACT: // PHONE FAX Cm. eL ADDRESS OF CONSTRUCTION TYPE OF IMPROVEMENT: [] NEW STRUCTURE TYPE: - R CTION] ~] SINGLE FAMILY [] TOWN HOME [] TWO FAMILY # of units: [] [] MULTI-FAMILY [] RENO # of Units:__ [] ~ RESIDENTIAL (For Additions, Remodels, Etc,) Cg PLUMBING CO Footing Under Slab SECTION SQUARE FOOT^GE: ~.~ construction: Code w/Indiana Amendments Code w/Indiana Amendments n Code) P : ~ ZNF' RM -~ N: Early Release Manufactured pply for the new Permit: Y ,~ N Trusses: y ~ C -- -- -- /~ CRAWLSPACE H~] PI~ & BEAM LOt Spl t: Y ~-N Sump Pump: Y ~ ~ SLAB [] BASE'~ENT s~c[~res requested by th~s ap~cadon w~ comply ~ch, a~d comorm ~o, ~ appScab~e laws o~ ~he S~a~e of india, ~d ~he ~Zo~g Or~ce of Carmd I~a- 1993' (Z~289) and amendmems, adD,ced under aut]~ority of LC. 36-Z et seq, Ge~er~ Assembiy of the SCare of India, and ~ Ac~s a~endaco~ E~. I ~r~er certify ~aE o~y ~c~en, ba~h, and ~oor ~ra~ns are co~ecged [o ghe sanitary sewer. ] f~lrther certify tha~ the consttuction w~l no~ be OFFICE USE ONLY: ************************************************************************ Filing Fees: Base Inspe~ions: ~ = ChargedReviewsRe- Services (Date) Cert. of Occupancy: P,R.LF,: Additional Fees Fee Received by: