HomeMy WebLinkAbout14070168 Application �;v a� cda;y Permir # l y�70�68'
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-� `; City of Carmel/Clay Township
"'"`'°� APPLICATION FOR ELECTRICAL INSPECTION
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NAME PHONE FA%
CONTRACTOR ��ICAL FN1ERPRISFS, INC. 317-784-2224 317-784-2299
INFORMATION: screecnaaress ary sace z�o
5715 CHCTR(�Il�I1�N AVE. , SUITE M INDIANAR�LIS, IN 46203
NAME CONTACTPHONE:
APPLICANT STEVFN L. RC765 317-414-2224
TNFORMATION: property Owner Contractor
(or agent) OR Representative X
TYPE of WORK; RESIDENTIAL: COMMERCIAL: x
PROPERTY OWNER NAME(5): PHONE: N�A
x PROPERTY ,I,wi
OWNER
INFORMATION; nRE�r^ooaess: acy scace z�v
3003 E. 98th Street CARMEL, IN
STREEi ADDRE55 QNSPECTION LOCA770N): City Sta[e� ZiD
INSPECTION 3003 E. 9$th Street CARMEL, IN
INFORMATION:
DATE OF INSPECTION: TIME OF INSPECTION:
TYPE OF IMPROVEMENT: MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
O U?GRADE SERVICE: From to O YES O NO
O UPGRADEPANELBOARD(5)
Number of NEW CIRCUITS:
0 ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUIOfV SYSTEM Number of METERS:
O NEW METER SERVICE (i.e. Fountain in pond; I CER FY T T T�Y I ORMATION CONTAINED
Subdivision street or signage lighting; Installation of ON F I 0 I� 0 PLETE AND ACCURATE,
new ufility services for an area)
O ROW SIGNAL, SENSOR, MONITOR (i.e, Traffc Light) "s� c�re
O CONNECTION Of RECONNECTION TO A RELOCATED STEVEN L. ROSS �^�O— �Jv
PRINT DATE T
SiRUCTURE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach maa of insuection location)
/t�%I� L2� .t-PC, cT �— C.4.�i*��
, .
FEES: $ . for Commercial Inspections; $:63.00for Residential Inspections
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