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RECORD:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions~ Remodels, & Accessory Structures
OWNER:
LOCAT]ON
& PRO3ECT
C
E~c.)
/ BZA / BPW DOO~'T
R SEP~C PERMIT #'S (IF APPLICABLE):
DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
SECTION
SQUARE
PLUMBING CONTRACTOR~ i~
Plumber's Indiana,State License #:
,~ih plumbing codes will be applied to the construction:
ntematlonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Cons~ction Code)
F .; N -~ ', - TYPE: (Check nil Umt apply for ~e new
[] POST & BEAM
[~ BASEMENT [/
WALKOUT: Y_~N
ffco~
~~~~ m~la~c~. (Certificate of Occupancy issued) within 18 months of the
~ '~~e Stare of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
reconsrructio~ enlargement, relocation, or alretation of a srrucvare, or any change i~ the use of land or
~ with. and conform to, all applicable laws of the State of Indiana. and the 'Zoning Ordinance of Carmel
kitchen bath and floor drains ~ of I.C. 36-7 er seq, GeneralAssembly of the State of In~, and all Acts amendatoty
· . . ' are connected to the sanitary sewer. I further certify that the construction will not be
by the Dep.axrment of Community Services, Carmel, Indiana,
Upper Footing Lower Footing
Meter Base ~~i~v
~mved:--De fo Communi~/ .'
~se~Inspec~: .?s __ ~.Z.._~__.~. o # Charged
Reviews
Additional Fees
TOTAL: ,~ ~ ~, ,,.~--Y'"
Fee Received by: