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CITY OF CARMEL
PERMIT RECEIPT
yr/
OPERATOR: vdo1an
COPY # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1714040000018001
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
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
96 .25
---------~--
------------
96 .25
03/13/2006
21453
06030086
10851 HAZEL DELL PKWY
CARMEL
MATIN MARIETTA AGGREGATES
15215 N RIVER AV
GAYLOR INC
LIC # EGAYLELE
GAYLOR ELECTRIC
11711 N COLLEGE AVE
CARMEL, IN 46032
(317) 843-0577
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- --------~- ---------- ----------
96 .25 0 .00 96 .25 0.00
---------- ---------- ---------- ----------
96 .25 0 00 96.25 0.00
NUMBER
024984
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRICAL INSPECTION
Permit #: 06030086
Date: 03/13/2006
PARCEL ID #: 1714040000018001
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 10851 HAZEL DELL PKWY CARMEL, IN 46033
Township?: Zoning: S1 Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: MATIN MARIETTA AGGREGATES
Ph. #: 3175239849 Fax #:
Street Address: 15215 N RIVER AV
CONTRACTOR INFORMATION:
Name: GAYLOR ELECTRIC
Ph. #: (317) 843-0577 Fax #: (317) 848-0364 Email:
Street Address: 11711 N COLLEGE AVE CARMEL, IN 46032
APPLICANT INFORMATION:
First Name: STEVE
Ph.#: 3175239849
Street Address: 10851
Last Name: ALLEN
Fax#:
HAZEL DELL PK
INDIANAPOLIS
46080
46080
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: COM
Service Upgrade: Y Current Amperage:
Panel Board Upgrade: 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 POLE AT MARTIN MARIETTA
10851 HAZEL DELL PARKWAY, SERVICE FEEDS A DOUBLE
WIDE TRAILOR, PAPERWORK, MAP, ETC IN FILE . NO NOTES.
This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commerdal Design Release.
All construction must be completed (C/O issued) within two (2) years of the issuance date.
T, 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, aU applicable laws of the State of Indiana, and the "Zoning
Ordinance of Carmel Indiana -1993" (Z-289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of
Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I
further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: STEVE
FEES:
CII ELECTRICAL/METERB.
ALLEN
96.25