HomeMy WebLinkAbout06090054 Application
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City of Carmel/ Clay Township k 0 ho q 005 Lf\.
APPLICA TrON FOR ELECTRICAL INSPECTION
NAME PHONE FAA I
CONTRACTOR M V FARRAR ELECTRIC, INC. 317-545-7155 317-545-7194;
INFORMAnON: Stl'eet.4ddress Clly Stat< ~p I
4830 INDUSTRIAL. PARKWAY INDIANAPOLIS IN
46226
NAME CONTACT PHONE:
APPLICANT AQUATIC SERVICES 317-752-0140
INFORMATlON: Property Owner Contractor
(or agent) OR Representative XX
TYPE of WORK:
RESIDENTIAL:
COMMERCIAL: XX
PHONE:
PROPERlY OWNER NAME[S):
PROPERTY
OWNER
INFORMATION:
B H MANAGEMENT SERVICES, INC.
STl\Eff ADOReSS:
317-848-5100
INSPECTION
INFORMATION:
382 ARBOR DRIVE
STREfl' ADDReSS (INSPECTION LOCATION):
562 ARBOR DRIVE
Cl\y
CARMEL
Cl\y
Stat<
~p I
46032
Zip I
460~2
I
IN
State
DATE OF INSPECTION:
WILL CALL FOR INSPECIION
TYPE OF IMPROVEMENT:
CARMEL IN
TIME OF INSPECTION:
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
o UPGRADE SERVICE: From
to
DYES
o NO
o UPGRADE PANEL BOAAD(S)
o ADDmON, ALTERA1l0N, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAl. DISTRIBUION SYSTEM
Number of NEW CIRCUITS:
o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Ught)
o CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
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,
I CERTIFY THAT THE INFORMATION CONTAINED
,
ON THIS FORM IS COMPLETE AND ACCURATE. I
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Number of METERS: 1-
~ NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services for an area)
COMMENTS or FURTHER L.OCATlON CLARIFICATION: (flease attach maD of insDection location)
INSTALLATION OF 100 AMP SINGLE PHASE PEDISTAL FOR POND FOUNTAIN SERVICE
$ 100.00 for Commercial Inspections; $ 55.50 for Residential Inspectidns
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I FEES:
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