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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COpy # 1
Sec:20 Twp:18 Rng:03 Sub:LSP Blk:3 Lot:88
PARCEL ID ........: ZLSP88
DATE ISSUED.......: 08/17/2006
RECEIPT #.........: 22938
REFERENCE ID # ...: 06080096
1~
SITE ADDRESS...... 13744 FIELDSHIRE TER
SUBDIVISION ......: LAKESIDE PARK
CITy...... .......: WESTFIELD
IMPACT AREA ......:
OWNER ...... ......: BRIGHTHOUSE NETWORK
ADDRESS.... ......: 3030 ROOSEVELT DR
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....:
CONTRACTOR....... :
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
ADAM MYETICH
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 O. 00
-~-------- ---------- ---------~ ----------
100 .00 O. 00 100.00 O. 00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
100.00
100.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For.' ELECTRICAL INSPECTION
Permit #: 06080096
Date: 08/17/2006
PARCEL ID #: ZLSP88
LOT & SUBDIVISION: 88 LAKESIDE PARK
ADDRESS OF CONSTRUCTION: 13744 FIELDSHIRE TER
Township?: 18 Zoning: S1/ESTATE
WESTFIELD, IN 46074
Flood Zone:
Lot Split:
PROPERTY OWNER INFORMATION:
Name: BRIGHTHOUSE NETWORK
Ph. #: 3173391949 Fax #:
Street Address: 3030 ROOSEVELT DR 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. #: (317) 752-1094
Street Address: 15405
Last Name: MYETICH
Fax#:
L TL EAGLE CREEK ZIONSVILLE 46077
46077
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:
LOT 88, LAKESIDE PARK. ELECTRICAL INSPECTION. . 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.
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 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: ADAM
FEES:
CII ELECTRICAL/METERB.
MYETICH
100.00