HomeMy WebLinkAbout19120012 Applicationn r.,n.... �: _
�'lV oF Cp9
� � o�1ti\FRS.M�:
.'�'n°'�. I
�
1 ruu �in �� ,
��N01 AN A-�,
CaNTRACTOR
INFORMATION:
PERMIT #
CITY OF CARMEL
Application for Electrical Inspection
NAME
Reformation Electric
;-;��: ,���
501 Oak Blvd S Dr
APPLICANT
INFORMATION:
TYPE of WORK:
NAME
Thayne Maguire
ADDRESS
501 Oak Blvd S Dr
RESIDENTIAL
$72.00 PER INSPECTION OO
PROPERTY NAME
OWNER Renner Investments
INFORMATION: ADDRESS
��� �F������ Q���� �
INSPECTION ADDRESS
INFORMATION: 4420 Rolling Springs
DATE OF INSPECTIQN:
/ /
'FYPE OF IMPROVEMENT:
O UPGRkDE SERViCf: from to
� ■�r-rrn nr� nn��rvnu
O✓ UPGRADE PANEL BOARD(Sj
O ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN IXISTING ELECTRICAL DISTRIBUTION SYSTEM
O NEW METER SERVICE (i.e. Fountain in pond;
----�---�-�� ----- -. _.�..___ .._.._..__, ...___..___.
services for an area) �
O R.O.W. SIGNAL, SENSOR, MONITOR (i.e. Traffic LigM)
O CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
�O �40
PHONE EMAIL
317-414-0015 thayne@reformationllc.com
:,;; ; �;:-;; �
Greenfield IN
PHONE:
317-414-0015
CITY STATE
Greenfield IN
COMMERCIAL
$133.00 PER INSPECTION
PHONE:
317-281-6110
CITY .
���I�S�Ei��
STATE
��
CIN
Carmel
STATE
IN
TIME OF INSPECTION:
9-11 O 10-12 ❑
�::
46140
ZIP
46140
❑
ZIP
��� :
ZIP
46033
12-2 O 2-4 �
MOVING SERVICE FROM OVERHEAD TO
UNDERGROUND?
YES O NO O
Number of NEW CIRCUITS: �
Number of METERS: �
I CERTIEY THAT THE INFORMATION CQNTAINED ON TfiIS FORM IS
COMPLETE AND ACCURATE.
._ —�.�._._.��=�'....�
SIGNATURE
Thayne Maguire 12/2/2019
PRINT DATE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach ma�pection location)
Change out existing 100 Federal Pacific panel for new snap in breaker type panel.
S:\� Current Handouts\2018 Appllcatlons\2019 Electrical Inspectlon Aooltcatlon.doc