HomeMy WebLinkAbout06090051 Application
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City of Carmel/Clay Township 1'f"
APPLICATION FOR ELECTRICAL INSPECTION
NAME PHONE FP:1.
CONTRACTOR M V FARRAR ELECTRIC, INC. 317-545-7155 317-545-7194'
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INFORMATION: Street ,address City Stare Zip i
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4830 INDUSTRIAL PARKWAY INDIANAPOLIS IN 462261
NAME CONTACT PHONE:
APPLICANT AQUATIC SERVICES 317-752-0140
INFORMATION: Property Owner Contractor
(or agent) OR Representative XX
TYPE of WORK: RESIDENTIAL: COMMERCIAL: vY I
PROPE,'TY OWNER NAME(S): PHONE:
PROPERTY B H MANAGEMENT SERVICES, INC. 317-848-5100
OWNER
INFORMATION: ST1\fEl ADDRESS: CIty Slilre Zip I
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382 ARBOR DRIVE CARMEL IN 46032!
STRfEl' ADDRESS (INSPECTION LOCATION): Ot'( State ZIp I
INSPECllON 387 ARBOR DRIVE CARMEL IN 46032
INFORMATION:
DAn: OF INSPEcnON: TIME OF INSPEcnON:
WILL CALL FOR INSPECTION I
TYPE OF IMPROVEMENT:
" MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
,
o UPGRADE SERVICE: From
to
DYES
o NO
o UPGRADE PANEL BOARD(S)
o ADOmON, ALTERA"ON, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
Number of NEW CIRCUITS:
Number of METERS: 1-
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLffi AND ACCURATE.
~+~
~ NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services for an area)
o ROW SIGNAL, SENSOR, MONITOR (i.e, Traffic Light)
o CONNEcnON or RECONNEcnON TO A RELOCATED
STRUCTURE
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PRINT
9b-loc"
DATE
COMMENTS or FURTHER lOCATION CLARIFICATION: (please attach maD of insDectiDn location)
INSTALLATION OF 100 AMP SINGLE PHASE PEDISTAL FOR POND FOUNTAIN SERVICE I
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I FEES: $ 100.00 for Commercial Inspections; $ 55.50 for Residential Inspecti9ns
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