HomeMy WebLinkAbout19120115 ApplicationS:\BCS Current Handouts\2018 Applications\2019 Electrical Inspection Application.doc
PERMIT # __________________
CITY OF CARMEL
Application for Electrical Inspection
CONTRACTOR
INFORMATION:
NAME PHONE EMAIL
ADDRESS CITY STATE ZIP
DATE OF INSPECTION: TIME OF INSPECTION:
_______/_______/________ 9-11 110-12 12-2 2-4
ADDRESS CITY STATE ZIP
RESIDENTIAL COMMERCIAL
$72.00 PER INSPECTION $133.00 PER INSPECTION
ADDRESS CITY STATE ZIP
NAME PHONE: APPLICANT
INFORMATION:
PROPERTY
OWNER
INFORMATION:
TYPE of WORK:
TYPE OF IMPROVEMENT:
UPGRADE SERVICE: From _______ to _______
METER RELOCATION
UPGRADE PANEL BOARD(S)
ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUTION SYSTEM
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
MOVING SERVICE FROM OVERHEAD TO
UNDERGROUND?
YES NO
Number of NEW CIRCUITS: _______
Number of METERS: ______
I CERTIFY THAT THE INFORMATION CONTAINED ON THIS FORM IS
COMPLETE AND ACCURATE.
SIGNATURE
PRINT DATE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
__________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
NAME PHONE:
ADDRESS CITY STATE ZIP INSPECTION
INFORMATION:
MPLETE AND ACCURATE.
NATURE
19120115
Huston Electric Inc 317-804-9009 scottn@hustonelectric.com
1105 E 181st Street
Westfield IN 46074
Huston Electric Inc
317-804-9009
1105 E 181st Street Westfield IN 46074
✔
Richard Scheer 317-809-3773
13042 Rosendale Drive
Carmel IN 46074
13042 Rosendale Drive
Carmel IN
46074
01 02 2020 ✔
✔200a 400a
✔
2
1
Scott Newlin 12/19/2019
Duke engineering has confirmed that underground service is suitable for upgrade. We are upgrading service to
add a couple of Tesla charging circuits for this customer. We would like inspection as close to 2p as possible. Duke wo# 35123363.