HomeMy WebLinkAbout07030143 Application
. City of Carmel/ Clay' Township ~ 01C 3 D \ ~ 3 i
APPLICATION FOR ELECTRICAL INSPECTION
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NAME
PHONE
FAX i
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CONTRACTOR
INFORMATION:
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Street Address
City
State Zip
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NAME
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APPLICANT
INFORMATION:
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Property Owner
(or agent)
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OR
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Contractor ,,; ,_ "" "'- '7"<-<- -r'72c-
Representative
TYPE of WORK:
RESIDENTIAL:
COMMERCIAL:
PROPERTY OWNER NAME(S):
PHONE:
PROPERTY
OWNER
INFORMATION:
s.
STREET ADDRESS: City
State
Zip'
INSPECTION
INFORMATION:
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'7'.5ti!Q:z-.
State
Zip
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TYPE OF IMPR
TIME OF .JNSPECf.I.. ON:
/yA/ Imt!:
. MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
o UPGRADE SERVICE: From
to
DYES
o NO
o UPGRADE PANEL BOARD(S)
>
Number of IliEW CIRCUITS:
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DlSTRIBUION SYSTEM
Number of METERS:
o NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new uti! ity services for a n a rea)
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND CURATE:.
o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
K CONNECTION or RECONNECTION' TO A RELOCATED
STRUCTURE
Signature
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PRINT
3-;2/-,;/7
DATE
COMMENTS or FURTHER LOCATION CLARIFICATION:
F'h/"" ~;;)~d
.
(Please attach maD of insDection location)
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FEES: $ 100.00 for Commercial Inspections; $ 55.50 for Residential Inspections
S:Permlts/Forms/Electrlcal ApplicatIon Apr ~006
Driving Directions from 12368 Southeastern Ave, Indianapolis, IN to 208 3rd St Sw, Car... Page I of2
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entire map, try clicking the "Printer-Friendly" link at the top of your resuits page.
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.. 12368 Southeastern Ave
Indianapolis, IN 46259.1145, US
Total Est. Time:
34 minutes
Maneuvers
.. 208 3rd St Sw
Carmel, IN 46032, US
Total Est. Distance:
27.47 miles
Distance
.. 1: Start out going SOUTHEAST on SOUTHEASTERN AVE / MAIN ST toward <0.1 miles
PLEASANT VIEW RD.
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2: Turn RIGHT onto PLEASANT VIEW RD.
<0.1 miles
3: Merge onto 1-74 W / US.421 N.
7.0 miles
4: Merge onto 1-465 N / US-421 N via EXIT 94.
15.4 miles
S: Take the KEYSTONE AVE / IN-431 exit- EXIT 33.
0.3 miles
6: Merge onto N KEYSTONE AVE / IN-431 N toward CARMEL.
3.4 miles
7: Turn LEFT onto E 126TH ST.
0.7 miles
8: Turn RIGHT onto S RANGE LINE RD.
0.3 miles
9: Turn LEFT onto 3RD ST SW.
<0.1 miles
.. 10: End at 208 3rd St Sw
Carmel, IN 460:3?,l)S.
Total Est. Time: 34 minutes Total Est. Distance: 27.47 miles
http://www.mapquest.comldirections/main.adp?do=nw&go= I &r=f&aoh=&aot=&aof=&2... 3/21/2007
Driving Directions from 12368 Southeastern Ave, Indianapolis, IN to 208 3rd St Sw, Car... Page 2 of2
~
Sorry! When printing directly from the browser your map may be incorrectly cropped. To print the
entire try clicking the "Printer-Friendly" link at the top of your results page.
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These directions are informational only. No representation is made or warranty given as to their content, road conditions or
route usability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no responsibility for any
loss or delay resulting from such use.
http://www.mapquest.com/directions/main.adp?do=nw&go= 1 &r=f&aoh=&aot=&aof=&2... 3/21/2007
priving Directions from 1 Civic Sq, Carmel, IN to 208 3rd Ave Sw, Carmel, IN
Page 1 of2
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Start: 1 Civic Sq
Carmel, IN 46032-2584, US
End: 208 3rd Ave Sw
Carmel, IN 46032-2020, US
Notes:
Directions
___"!.~_~"L_~_st,_!i_!!!!:_:..2_.'!].iD~t~.~_~!C!!~I__!,~!:_Dist,!!'.~!::_Q.;.~2._I1J!!~_L__.._
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Distance
11m
1: Start out going WEST on CIVIC SQ toward GRADLE DR.
2: Turn RIGHT onto GRADLE DR.
0.1 miles
3: Turn RIGHT onto 3RD AVE SW.
0.7 miles
..
4: End at 208 3rd Ave Sw
Carmel, IN 46032-2020, US
Total Est. Distance: 0.82 miles
Total Est. Time: 3 minutes
hUD:/ /www.maDQuest.com/directions/main.adp?do=prt&mo=ma&un=m&go= 1 & 1 a= 1 %20... 3/21/2007
,Driving Directions from I Civic Sq, Carmel, IN to 208 3rd Ave Sw, Carmel, IN
Page 2 of2
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Start:
1 Civic Sq
Carmel, IN 46032.2584, US
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End:
208 3rd Ave Sw
Carmel, IN 46032-2020, US
All righ!;!;L[e_$~[V_e9_,_l"-~S!_S_@ject-.t~ens~/l:gRYrjgl)t
These directions are informational only. No representation is made or warranty given as to their content, road
conditions or route usability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no
responsibility for any loss or delay resulting from such use.
http://www.mapquest.com/directions/main.adp?do=prt&mo=ma&un=m&go= I & I a= I %20", 3/21/2007