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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:04 Sub:468 Blk:34 Lot:155
PARCEL ID ........: 1710340309016000
DATE ISSUED.......:
RECEIPT #.........:
REFERENCE ID # ....
SITE ADDRESS ......
SUBDIVISION ......:
CITy............. :
IMPACT AREA... ...:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE. ... .....
FEE ID UNIT QUANTITY
IRESELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
53.50
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------------
TOTAL RECEIPT: 53.50
02/08/2006
21156
06020030
6040 116TH ST E
NORTHWOOD HILLS
CARMEL
RICK CLEMENTS
6040 116TH ST E
CARMEL, IN 46033
D&D CONTRACTORS
LIC # ED&DCONTRA
D&D CONTRACTORS
P.O. 306
WHITESTOWN, IN 46075
(317) 440-1298
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
53 50 O. 00 53 .50 O. 00
---------- ---------- ---------- ----------
53 50 0 00 53 .50 0 00
NUMBER
1100
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRICAL INSPECTION
Permit #: 06020030
Date: 02/08/2006
PARCEL ID #: 1710340309016000
LOT & SUBDIVISION: 155 NORTHWOOD HILLS
ADDRESS OF CONSTRUCTION: 6040 116TH ST E
Township?: 18 Zoning: S1
CARMEL, IN 46033
Flood Zone:
Lot Split:
PROPERTY OWNER INFORMATION:
Name: RICK CLEMENTS
Ph. #: 3178442590 Fax #:
Street Address: 6040 116TH ST E CARMEL, IN 46033
CONTRACTOR INFORMATION:
Name: D&D CONTRACTORS
Ph. #: (317) 440-1298 Fax #: Email:
Street Address: P.O.306 WHITESTOWN, IN 46075
APPLICANT INFORMATION:
First Name: DAVID
Ph.#: 3174401298
Street Address: 6040
Last Name: JACKSON
Fax #:
E 116TH STREET CARM EL
46033
46033
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: RES
Service Upgrade: Y Current Amperage:
Panel Board Upgrade: Y New Meter Service:
Number of New Circuits: Number of New Meters:
Relocated Structure Connection: Moving Service (Overhead to Underground):
Alteration, Addition, Remodel, or Repair to Existing Distribution System:
Upgrade Amperage:
Row Signal:
Special Notes/Conditions:
ELECTRICAL INSPECTION FOR 6040 E 116TH STREET, MAP
INCLUDED, UPGRADING SERVICE AND PANEL SOARD . NO NOTES'
This permit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release.
All construction must be completed (C/O issued) within two (2) years of the issuance datc.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning
Ordinance of CarmclIndiana - 1993n (Z~289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of
Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and noor drains are connected to the sanitary sewer. I
further certify that the eonstn\etion will not be used or occupied until a Certificate o{Occup;wcy has been issued by the Department of
Community Services, Carmel. Indiana.
APPLICANT NAME: DAVID
FEES:
RES ELECTRICAL/METERS.
JACKSON
53.50