HomeMy WebLinkAbout19080049 ApplicationCITY OF CARMEL
Application for Electrical Inspection
Permit#
TYPE OF IMPROVEMENT:
❑ UPGRADESERVICE: From to_
❑ METER RELOCATION
❑ UPGRADE PANELBOARD(S)
❑ ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUTION SYSTEM
a NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of new utility
services for on area)
❑ R.O.W. SIGNAL, SENSOR, MONITOR (i.e. TraHi( Light)
❑ CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
MOVING SERVICE FROM OVERHEAD TO
UNDERGROUND?
YES ❑ NO
Number of NEW CIRCUITS: 2
Number of METERS: 1
I CERTIFY THAT THE INFORMATION CONTAINED ON THIS FORM 15
COMPLETE AND ACCURATE.
SIGNATURE
Matt Kinder 8/9/19
PRINT DATE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
6.,4-c_ e. -&-- # 1-I J 9
S:\Perm1ts\F0RMBU1QIve Forms Binder(Copyable Form OrglnalS)Wpplicatlons\2018 Electrical Inspection ApplIWIon.duc
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NAME PHONE EMAIL
CONTRACTOR
Kinder Electric Co 317-710-4458 mattk@kinderelectric.com
INFORMATION:
CONTRACTOR ADDRESS CITY STATE ZIP
9087 Technology lane Fishers, IN 46038
NAME CONTACT PHONE:
APPLICANT
Matt Kinder 317-710-4458
INFORMATION:
APPLICANT ADDRESS CITY STATE ZIP
TYPE of WORK:
RESIDENTIAL COMMERCIAL
$71.00 PER INSPECTION ❑ $131.00 PER INSPECTION ❑
PROPERTY
PROPERTY OWNER NAME PHONE:
Estates of Clay West C/O Armour Property Management 317-5144037
OWNER
INFORMATION:
PROPERTY OWNER ADDRESS CITY STATE ZIP
23 E main St #300 Carmel, IN 46032
INSPECTION ADDRESS CITY STATE ZIP
INSPECTION
13152 W. Sherbern Dr Carmel, 46033
INFORMATION:
DATE OF INSPECTION: TIME OF INSPECTION:
I 9 -ITE] 10.12 12.2 2.4❑
TYPE OF IMPROVEMENT:
❑ UPGRADESERVICE: From to_
❑ METER RELOCATION
❑ UPGRADE PANELBOARD(S)
❑ ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUTION SYSTEM
a NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of new utility
services for on area)
❑ R.O.W. SIGNAL, SENSOR, MONITOR (i.e. TraHi( Light)
❑ CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
MOVING SERVICE FROM OVERHEAD TO
UNDERGROUND?
YES ❑ NO
Number of NEW CIRCUITS: 2
Number of METERS: 1
I CERTIFY THAT THE INFORMATION CONTAINED ON THIS FORM 15
COMPLETE AND ACCURATE.
SIGNATURE
Matt Kinder 8/9/19
PRINT DATE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
6.,4-c_ e. -&-- # 1-I J 9
S:\Perm1ts\F0RMBU1QIve Forms Binder(Copyable Form OrglnalS)Wpplicatlons\2018 Electrical Inspection ApplIWIon.duc
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W Sherbern Dr - Google Maps
Go4:)gle Maps
W Sherbern Dr
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