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CITY OF CARMEL
PERMIT RECEIPT
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I L,
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OPERATOR: vdolari
COpy # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ..... ...: ELECTRICAL
DATE ISSUED.......: 07/24/2006
RECEIPT #.........: 22734
REFERENCE ID # ...: 06070156
SITE ADDRESS ...... 9950 SPRINGHILL RO
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER....... .....: BRIGHTHOUSE NETWORK
ADDRESS........ ..: 3030 ROSSEVELT AV
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
TELECOM PLACEMENT
LIC # ETELEPLA
TELECOM PLACEMENT, INC
15405 LITTLE EAGLE CREEK AVE
ZIONSVILLE, IN 46077
(317) 752-7758
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
100. 00 O. 00 100.00 0 .00
---------- ---------- ---------- ----------
100 00 O. 00 100.00 0 .00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
100.00
------------
------------
100.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICA nON
For: ELECTRICAL INSPECTION
Permit #: 06070156
Date: 07/24/2006
PARCEL 10 #: ELECTRICAL
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION:
Township?: Zoning:
9950 SPRINGHILL RO CARMEL, IN
Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: BRIGHTHOUSE NE1WORK
Ph. #: 3176329077 Fax #:
Street Address: 3030 ROSSEVEL T AV INDIANAPOLIS, IN 46218
CONTRACTOR INFORMATION:
Name: TELECOM PLACEMENT, INC
Ph. #: (317) 752-7758 Fax #: (317) 769-4645 Email:
Street Address: 15405 LITTLE EAGLE CREEK AVE ZIONSVILLE, IN 46077
APPLICANT INFORMATION:
First Name: ADAM
Ph. #: 3177527758
Street Address: 9950
Last Name: MYETICH
Fax #:
SPRINGMILL RD
CARMEL
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: COM
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:
ELECTRICAL INSPECTION, POWER CUPPL Y FO BRIGHTHOUSE
CABEL, POLE #25, 165A ADAM 752-1094 . 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 (CIO issued) within two (2) years of the issuance date.
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 Carmel Indiana -1993" (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 (loor 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: ADAM
FEES:
CII ELECTRICAL/METERB.
MYETICH
100.00