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HomeMy WebLinkAbout323955 04/06/18 y u_S�gyf CITY OF CARMEL, INDIANA VENDOR: 372345 ONE CIVIC SQUARE MISTER SPARKY CHECK AMOUNT: 3********70.00*CARMEL, INDIANA 46032 5561 W 74TH STREET CHECK NUMBER: 323955 INDIANAPOLIS IN 46268 CHECK DATE: 04/06/18 F tUN DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER . AMOUNT DESCRIPTION 1192 5023990 70.00 OTHER EXPENSES r VOUCHER NO. WARRANT NO. 3 �5 ALLOWED 20 IN SUM OF $ Kenn e+h J016csc5h 5'Sc© -74M 5-� ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or Oq. '7b2'0 bill(s) is (are) true and correct and that the L a I materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund G` =ER��F� REFUND REQUEST " Building& Code Services srono Ph. (317) 571-2444 Fax (317) 571-2499 r % �NDION PERMIT #(s): 14605 Lot& Subdivision or Address of Construction: 13654 O/YYIOW Permit Type: s `�-� Reason for refund request: TOTAL REFUND AMOUNT REQUESTED: DO APPLICANT: ,ennp, 3Gt(' S r Applicant Name—Printed Company Name(If appli able) 74-±� al Street Address City f I p ST Zip Phone# Fax# CITY OF CARMEL ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: plux COPY # 1 Sec: Twp:18 Rng:04 Sub:146 B1k:29 Lot:4 PARCEL ID . . . . . . . . : 1610290401005000 DATE ISSUED. . . . . . . : 03/19/2018 RECEIPT #. . . . . . . . . : BC000015304 REFERENCE ID # • . . : 18030133 SITE ADDRESS . . . . . : 13054 ANDOVER DR SUBDIVISION . . . . . . : BROOKSHIRE NORTH CITY . . . . . . . . . . . . . . CARMEL IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : ELSTON, ARNOLD ADDRESS . . . . . . . . . . : 13054 ANDOVER DR CITY/STATE/ZIP . . . : CARMEL, IN 46033 RECEIVED FROM . . . . : KENNETH JACKSON CONTRACTOR . . . . . . . : MISTER SPARKY LIC # EMISTSPA COMPANY . . . . . . . . . . : MISTER SPARKY ADDRESS . . . . . . . . . . : 5561 W. 74TH ST CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46268 TELEPHONE . . . . . . . . : (317) 874-8748 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- IRESELEMTR PER INSPECTIO 1. 00 70. 00 0.00 70 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 70. 00 0.00 70 . 00 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 70 . 00 MASTERCARD --------------- TOTAL RECEIPT 70 . 00 Residential requests must occur within 180 days from the issuance date of the permit. Commercial/Institutional/Multi-Family requests must occur within 1 year of the issue date of the State Design Release.If no State Design Release was required,the refund must be requested within 1 year from issuance date of the permit. The following fees are eligible for refund: Square Footage Fees Inspection Fees Certificate of Occupancy or Substantial Completion Fees Park and Recreation Impact Fees Carmel Utility Water/Sewer Fees Square Footage Fees: Inspection Fees: 0 U PRIF: Certificate of Occupancy: Water Sewer Fees: TOTAL REFUND: -7 D . OU Original receipt date:3/1 $ Receipt Number: Date: �' - —f _ Refund approved by: