Laserfiche WebLink
DEMOLITION PERMIT APPLICATION <br />,ST.JOSEPH COUVIA' 1 C11-YOFSOL31-1-1 BEND ; BULDING DEPARTMENT <br />16. U'pon completion schedule an inspection to verify. <br />W1�LK:A11",WGIR41ATION <br />PROPERTY <br />OWNER. Eric & Mia Martin <br />YHONE; 812-360-8129 <br />ADDRESS: <br />804 S. Lincoln St, <br />AdclFeSS <br />APPLICANT: <br />Timothy Lykowski <br />PHONE: <br />574-291-8858 <br />. . . . ......... . . . . <br />ADDRESS: <br />23158 W. Ireland Road <br />Address <br />PROPERTY INFORMATION <br />ADDRESS. 1126 N. Frances St. <br />AWANNONQ= <br />STRUCTURE TYPE: <br />Address <br />EMAIL- eric.vance.martin@gmaii.com <br />Bloomington IN <br />47401 <br />City State Zip <br />ORG/BUSINESS. Lykowski Construction, Inc. <br />EMAIL: kathylykowski@,aol.com <br />South Bend IN 46614 <br />City <br />City <br />State Zip <br />46613 <br />Zip <br />PRIMARY INCLUDING INCLUDING ATTACHED ACCESSORY <br />STRUCTURE 1:1 BASEMENT Z GARAGE ZSTRUCTURE <br />JIT Fioor <br />sq/ft <br />Attached 274 <br />Garage <br />2 11 D Floor_ <br />sq/ft <br />Accessory 255 <br />Structure <br />sq/ft <br />3"' Floor Basement <br />sq/ft sq/ft <br />TOTAL 529 <br />Eli <br />VERIFICATION OF UTILITY DISCONNECTS: ELECTRIC GAS WATER <br />Proof of utility disconnects must be provided with this application, <br />DEMOLITION CONTRACTOR: ir <br />All demolition contractors must be registered 4with �olfdep�rtment, <br />For more information on this go to LtL'/ 1-1con t/ act LT <br />I certify the above to be a true and accurate to the best of my knowledge. <br />APPS-I.cANT SIGNATURE DATE <br />Timothy Lykowski <br />Page I I of 1 <br />