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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COPY # 1
See: Twp:1B Rng:03 Sub: Blk:20 Lot:
PARCEL ID ........: 1709200000002002
DATE ISSUED.... ...: 02/08/2007
RECEIPT #.........: 24228
REFERENCE ID # .... 07020043
SITE ADDRESS ......
SUBDIVISION ......:
CITY .............:
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY... .......:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE.... .....
FEE ID UNIT QUANTITY
IRESELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
55.50
---~--------
------------
55.50
14221 SHELBORNE RD
WESTFIELD
JON HASKELL
14221 SHELBORNE RD
WESTFIELD, IN 46074
JR HASKELL COMPANY
LIC # HASKJON
HASKELL, JON
14221 SHELBORNE RD
WESTFIELD, IN 46074
(317) 281-4375
/f
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
55. 50 0 00 55.50 0 .00
---------- ---------- ---------- ----------
55. 50 0 00 55.50 0 00
NUMBER
1595
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLlCA nON
For: ELECTRICAL INSPECTION
Permit #: 07020043
Date: 02/08/2007
PARCEL 10 #: 1709200000002002
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 14221 SHELBORNE RD WESTFIELD, IN
Township?: 18 Zoning: Flood Zone:
46074
Lot Split:
PROPERTY OWNER INFORMATION:
Name: JON HASKELL
Ph. #: 3172814375 Fax #:
Street Address: 14221 SHELBORNE RD
WESTFIELD, IN 46074
CONTRACTOR INFORMATION:
Name: HASKELL, JON
Ph. #: (317) 281-4375 Fax #:
Street Address: 14221 SHELBORNE RD
Email:
WESTFIELD, IN 46074
APPLICANT INFORMATION:
First Name: JON
Ph. #: (317) 281-4375
Street Address: 14221
Last Name: HASKELL
Fax #:
SHELBORNE RD WESTFIELD 46032
46032
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: RES
Service Upgrade: Y Current Amperage: 120
Amperage: 220
Panel Board Upgrade: Y New Meter Service: Y
Number of New Circuits: 1 Number of New Meters:
Relocated Structure Connection: Moving Service (Overhead to Underground): N
Alteration, Addition, Remodel, or Repair to Existing Distribution System: Y
Special Notes/Conditions:
Upgrade
Row Signal:
14221 SHELBORNE RD. ELECTRICAL INSPECTION.
NEW METER SERVICE WITH AN UPGRADE FROM 120 AMPS
TO 220 AMPS. THIS IS IN THE BARN. . 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 lndiana, and the "Zoning
Ordinance of Carmel lndiana - 1993" (Z- 289) and amendments, adopted under authority of l.c. 36~ 7 et seq, General Assembly of the State of
lndiana, 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 Certjficate of OcclJp<lncy has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: JON
FEES:
RES ELECTRICAL/METERB.
HASKELL
55.50