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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: lstewart
COpy # 1
See: Twp:18 Rng:03 Sub: Blk:27 Lot:
PARCEL ID ........: 17092700000130 2
DATE ISSUED.......: 09/14/2006
RECEIPT #.........: 23167
REFERENCE ID # ...: 06090068
SITE ADDRESS ...... 747 136TH ST W
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: BRIGHTHOUSE NETWORK
ADDRESS ..........: 3030 ROOSEVELT AVENUE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE..... ....
ADAM MYTICH
LIC # ETELEPLA
TELECOM PLACEMENT, INC
15405 LITTLE EAGLE CREEK AVE
ZIONSVILLE, IN 46077
(317) 752-7758
FEE ID UNIT QUANTITY
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -----~---- ---------- ----------
100 .00 0 00 100. 00 0.00
---------- ---------- ---------- ----------
100. 00 0 .00 100 00 O. 00
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
100.00
------------
------------
100.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRiCAL INSPECTION
Permit #: 06090068
Date: 09/14/2006
PARCEL 10 #: 1709270000013002
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 747 136TH ST W
Township?: 18 Zoning:
CARMEL, IN 46032
Flood Zone:
Lot Split:
PROPERTY OWNER INFORMATION:
Name: BRIGHTHOUSE NETWORK
Ph. #: 3176329077 Fax #:
Street Address: 3030 ROOSEVELT AVENUE 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. #: 3176329077
Street Address: 3030
Last Name: MYETICH
Fax#:
ROOSEVELT AVE
INDIANAPOLIS
46218
46218
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: 1
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 PERMIT FOR UTILITY POLE #838 1563 . NO NOTES'
This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Relc<:lse.
All construction must be completed (CIO issued) within two (2) years of the issuance date.
T, 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. r 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, Cannel, lndiana.
APPLICANT NAME: ADAM
FEES:
CII ELECTRICALlMETERB.
MYETICH
100.00