HomeMy WebLinkAbout05110113-ApplicationRECORD:
OWNER:
cCity of Camel/Clay Township
OMMERCIAL or INSTI~TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: flew Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
S EMAIL ADDRESS
PHONE
CITY STATE
LOCATION
& PRO]ECr
:~NFO:
~Y N
SLAB O CRAWL SPACE
POST &. BEAN O BASEMENT
(or POST & PIER)
Plumber's Zndiana State Ucense #:
Filing Fees: 0(~
Base Inspections: Reviews
Cert, of Occupancy: ~ ~ O O
Additional Fees
of Community Services (Date) ~y: