HomeMy WebLinkAbout07010143 Application
1".
'\I)V- I n:uuo l tlU U L : Hi ~n
FAX NO,
p, D2.
(t.~ City of Carmel! Clay Township 01 D 10 ( ifj
____ ~~') APPLICATION FOR ELECTRICAL INSPECTION
NAME - PAX
CONTRAC1'OR Morphey Construction, Inc. (317) 356-9250 (317) 356-9253
INFORMA110N: 5trtirN:ldren ctv - Zlp
1499 N. Sherman Drive Indianapolis IN 46201
IWlIi aJH1'Aa P1lOHe'
APPUCANT Coby Baln (317) 356-9250
INFORMAnONt Property Owner Contractor
(or agent) OR Representatlve XXX)(
TYP! 01 WORK: RESIDCNTfAI.: COMMEROAL: )(XXX)(
""'PEI<TV 9Wl'ER~. PI1ONE:
PROPERTY Carmel Street Department (317) 733-2001
OWN!R C&y
INFORMATIONI Sl'II5i" JoDOIlB6 (1N$IIllC11OIt LOCATBlIQ: $tlllo ""..
3400 W. 1318tSt. Westfield IN 46074
SlllI!!T ADCIlESS (lNSllrcnllN LOC<'J1IlN): r:bf - ~
INSPECttON 116lh & Shelborne Rd. Cermel IN 46032
INFORMA110Nl DATE Of' IN5PEC'TlON: TlME OF INSPEcnON:
lYPE OF IMPROVEMENT:
MOVING SERVICE FROM OVERHEAD
TO UNDeRGROUND?
o UPGRADe Si:l\Vla:: From
to
o YES
!Xl HO
o . UPGRADE PANa BOARD(S) [Ara BlW\KERS REQUIRED]
Ll ADDmON, AlTERATION, REMODEL, llI' REPAIR TO
M ~S1lNG ELECllUCAL. OI511lmUION SVSfEM
Number of NIW aRCUITS: 1
Number of NETERI; 1
I cal.1lFY THATi11E INFORMAiION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.
_CJb-
Xli NEW MfT'ER SERVICE (I.e. Fountlllflln pond;
SUbdM;fOn street or slgnage 11g1ltlng; Instsllation or
new utl11ty servlc:es for an areal
o ROW SIGNAL, SENSOR, MONITOR (Le, TI'Illf1c Ught)
o CONNECllON or RECONNECllON TO A RELOCATED
STRUCT\.IR!
Goby Bain
f'Il/NI'
0112312007
llA-re
COMMENTS or PURTltER LOCAnON CLAlUI'1CAnONI (PI...... IlttBdl maD afln.d:Ion laa;tfan)
,
.
'"--,,
fEES: $ 96.25 for COmmercial Inspections; $ 53.50 far Resldentlal Inspec:Uons
S:PenT;__ ~pl<a1Ion a<t_
r "d
ES~6SSE~rE ~UI 'uo~~~n~~SU03 ~64d~ow
w~rO:6 ~oo~ E~ uec