HomeMy WebLinkAbout19100158 ApplicationnF CAR' PERMIT #
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CITY OF CARMEL
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Application for Electrical Inspection
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CONTRACTOR
INFORMATION:
APPLICANT
INFORMATION:
TYPE of WORK:
PROPERTY
OWNER
INFORMATION:
INSPECTION
INFORMATION:
TYPE OF IMPROVEMENT:
NAME
Jefferson Electric LLC
ADDRESS
2114 E Washington St
NAME
David Spoonemore
ADDRESS
2114 E Washington St
RESIDENTIAL
$72.00 PER INSPECTION
NAME
Mark Carfagna
ADDRESS
311 1 st Ave NW
ADDRESS
311 1 st Ave NW
DATE OF INSPECTION:
❑ UPGRADE SERVICE: From to
❑ METER RELOCATION
❑ UPGRADE PANEL BOARD(S)
❑ ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUTION SYSTEM
PHONE EMAIL
3522705228 david@jeffersonelectricllc.cc
CITY STATE ZIP
Indianapolis IN 46201
PHONE:
3522705228
CITY STATE ZIP
Indianapolis IN 46201
_ COMMERCIAL
$133.00 PER INSPECTION ❑
PHONE:
3173763686
❑ NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of new utility
services for an area)
❑ R.O.W. SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
❑ CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
CITY STATE ZIP
Carmel IN 46032
CITY STATE ZIP
Carmel IN 46032
TIME OF INSPECTION:
9-11 ❑ 10-12 ❑ 12-2 ❑ 2-4 ❑
MOVING SERVICE FROM OVERHEAD TO
UNDERGROUND?
YES ❑ NO
Number of NEW CIRCUITS: 0
Number of METERS: 1
I CERTIFY THAT THE INFORMATION CONTAINED ON THIS FORM IS
COMPLET AND ACCURATE.
SIG\A RE
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PRINT DATE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
Installation of a roof mounted solar array consisting of (32) 340W modules and (1) 1 OkW inverter.