HomeMy WebLinkAbout07030211 Application
City of Carmel/Clay Township ::if ()7D'302J/
APPLICATION FOR ELECTRICAL INSPECTION
CONTRACTOR
INFORMATION:
City
State
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NAME
PHONE
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CONTACT PHONE:
APPLICANT
INFORMATION:
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Property Owner ,/
(or agent) ,
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OR
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Contractor
Representative
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TYPE of WORK:
RESIDENTIAL:
COMMERCIAL:
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PROPERTY OWNER NAME(S):
PHONE:
PROPERTY
OWNER
INFORMATION:
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STREET ADDRESS:
City
State Zip
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STREET ADDRESS (INSPECTION LOCATION): ity
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State
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Zip
INSPECTION
INFORMATION:
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TIME OF INSPECTION:
A-
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND? i
o UPGRADE SERVICE: From
to
DYES
o NO
o UPGRADE PANEL BOARD(S)
Number of NEW CIRCUITS:
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
Number of METERS: J
o NEW METER SERVICE (i.e. Fountain in pond;
, Subdivision street or signage lighting; Installation of
new utility services for an area)
I CERTIFY THAT THE .INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.
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Signature
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PRINT
,
cr _ ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
A" CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
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FEES: $ 100.00 for Commercial Inspections; $ 55.50 for Residential Inspections
S:PermltsjForms/Elec.trical Application Apr 2006
Driving Directions from 12368 Southeastern Ave, Indianapolis, IN to 124 5th St Se, Car... Page 1 of2
Sorry! When printing directly from the browser your map may be incorrectly cropped. To print the
entire map, try clicking the "Printer-Friendly" link at the top of your results page.
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_ 12368 Southeastern Ave
Indianapolis, IN 46259-1145, US
Total Est. Time:
34 minutes
Maneuvers
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_ 124 5th St Se
Carmel, IN 46032, US
Total Est. Distance:
27.39 miles
Dista nce
1: Start out going SOUTHEAST on SOUTHEASTERN AVE 1 MAIN ST toward <0.1 miles
PLEASANT VIEW RD.
2: Turn RIGHT onto PLEASANT VIEW RD.
<0.1 miles
3: Merge onto 1.74 W 1 US-421 N.
7.0 miles
4: Merge onto 1.465 N 1 US-421 N via EXIT 94.
15.4 miles
5: Take the KEYSTONE AVE 1 IN-431 exit- EXIT 33.
0.3 miles
6: Merge onto N KEYSTONE AVE 1 IN-431 N toward CARMEL.
3.4 miles
7: Turn LEFT onto E 126TH ST.
0.7 miies
8: Turn RIGHT onto 5 RANGE LINE RD.
0.2 miles
9: Turn RIGHT onto 5TH ST SE.
<0.1 miles
_ 10: End at 124 5th St Se
Carmel, IN US
Total Est. Time: 34 minutes Total Est. Distance: 27.39 miles
http://www.mapquest.comldirections/main.adp ?go= 1 &do=nw &rmm= 1 & 1 gi=O&un=m& 1... 3/3.012007
Driving.oirections from 12368 Southeastern Ave, Indianapolis, IN to 124 5th St Se, Car...
Page 2 of2
,
(i
Sorry! When printing directly from the browser your map may be incorrectly cropped. To print the
entire map, try clicking the "Printer-Friendly" link at the top of your results page.
All riahts reserved. Use Subiect to License/CoDvri9h.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.comldirections/main.adp?go= I &do=nw &rmm= I & I gi=O&un=m& I... 3/30/2007