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HomeMy WebLinkAbout05110135 ApplicationCity of Carmel/Clay Township permit #:~'o For Commercial or Institutional: New Structures, Additions, Remodela, Tenant Finishes, & Accessory Buildings PHONE STREET ADDRESS PROPERTY OWNER: FAX ~ PHONE FAX ST^TeCO..E.C~ f~ SCO~CS~OF o FO. O STR C *RC. o .,u. mU*RE DESIGN RELEASE #: b~ RELEASE: o ELEC o SPKLR (Pr;vate~y owned hospitals and medical offices/centers are commercial) [] INSTTrUT[ONAL [] Munidpal/Public Bldg [] Church which SLAB [~ CRAWL SPACE 0 BASEMENT (or POST & PIER) WALKOUT: Y N 0 NEW STRUCTURE [] ADDmON ~/~?~.i[ / [] Room(s) /%D [] Pos [] Mezzanine or Deck [] REMODEL [] NEW TENANT FINISH [] ACCESSORY BUILDING [] DETACHED GARAGE [] ATTACHED GARAGE [] CELL TOWER (New) [] CELL TOWER CO-LOCATE O DEMOLrFION D (051' OF CONSTRUe: ~ ~ ~.- I ~dy Rel~ Man~ P~it: Y ~N T~: Y ~N ~tSplit: ~ SumpPump: T ~N d~ignafion ama: ~ PLUMB[~: s are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for begLan~g and comple~ag construction. ~ with, a~d conforra to, afl ~ Site ~ Ser~ices (Date) Fe that only ~har0ed Re- Reviews Additional Fees