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PERMIT RECEI
OPERATOR: vdolan
COpy # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 999000000002636
DATE ISSUED.......: 05/16/2006
RECEIPT #..... ....: 22063
REFERENCE ID # ...: 06050103
SITE ADDRESS ...... 575 WEST 106TH ST.
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER.... ........: JAY HOFFMAN
ADDRESS.. ........: 575 W 106TH STREET
CITY/STATE/ZIP ...: CARMEL, IN
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY. .........:
ADDRESS... .......:
CITY/STATE/ZIP ...:
TELEPHONE .........
BARTH ELECTRIC
LIC # EBARTELE
BARTH ELECTRIC
1934 N ILLINOIS
INDIANAPOLIS, IN 46202
(317) 924-6226
FEE ID UNIT QUANTITY
IRESELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- -----~----
55 .50 o. 00 55.50 0 00
---------- ---------- ---------- ----------
55.50 0 .00 55.50 0.00
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
55.50
117235
---------~--
--------~---
55.50
CITY OF CARMEl / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELEURICAL INSPECTION
Permit #: 06050103
Date: 05/16/2006
PARCEL 10 #: 999000000002636
LOT & SUBDIVISION: 0
ADDRESS OF CONSTRUCTION:
Township?: Zoning:
575 WEST 106TH ST. CARMEL, IN
Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: JAY HOFFMAN
Ph. #: 3179215142 Fax #:
Street Address: 575 W 106TH STREET CARMEL, IN
CONTRACTOR INFORMATION:
Name: BARTH ELECTRIC
Ph. #: (317) 924-6226 Fax #: Email:
Street Address: 1934 N ILLINOIS INDIANAPOLIS, IN 46202
APPLICANT INFORMATION:
First Name: JIM
Ph. #: JIM
Street Address: 575
Last Name: RASSCH
Fax #: RAASEH
W 106TH STREET CARMEL
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: RES
Service Upgrade: Current Amperage:
Panel Board Upgrade: New Meter Service: Y
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:
ELECTRCIAL iNSPECTION FOR METER PEDESTAL NEAR DRIV
ON PROPERTY, MAP ON BACK ON ILP. . NO NOTES'
This permit is valid only if construction commences within one (1) 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 date.
T, the undersigned, agree that any construction, reconstruction, enlargement, rdocation, 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 Carmel Indiana - 199J" (Z,289) and amendments, adopted under authority of I.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 arc 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: JIM
FEES:
RES ELECTRICAL/METERS.
RASSCH
55.50