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CITY OF CARMEL / CLAY TOWNSHIP
! IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRICAL INSPECTION
Permit #: 07040075
Date: 04/11/2007
PARCEL 10 #: ELECTRICAL INSPECTION
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: RANGELlNE RD N CARMEL, IN 46032
Township?: Zoning: Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: BRIGHTHOUSE NETWORK
Ph. #: 3176329077 Fax #:
Street Address: 3030 ROOSEVELT AVE 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. #: (317) 752-7758
Street Address: 15405
Last Name: MYETICH
Fax #: (317) 769-4645
L TL EAGLE CREEK ZIONSVILLE 46077
46077
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:
Relocated Structure Connection: Moving Service (Overhead to Underground): N
Alteration, Addition, Remodel, or Repair to Existing Distribution System:
Upgrade Amperage:
Row Signal:
Special Notes/Conditions:
1040 RANGELlNE RD N. ELECTRICAL INSPECTION. NEW
METER SERVICE FOR CATV - SEE NOTEPAD. This cable box is currently located on a
pole that Duke Energy is removing. This
is to take place in the morning on
Thursday, April 12th.
The new pole mount meter/disconnect will
be placed on pole #076-947, located
between the dentist office and the
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
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 Indiana, and the "Zoning
Ordinance oE Carmel Indiana - 1993" (Z~ 289) and amendments, adopted under authority of l.c. 36~ 7 et seq, General Assembly of the State of
Indiana, 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 Certificate of Occupancy has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: ADAM
FEES:
CII ELECTRICAL/METERB.
MYETICH
104.00
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COpy # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID . .......: ELECTRICAL
DATE ISSUED.......: 04/11/2007
RECEIPT #.........: 24751
REFERENCE ID # .... 07040075
'N'PEeT'ON ~ ~
SITE ADDRESS...... RANGELINE RD N
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA......:
OWNER ............: BRIGHTHOUSE NETWORK
ADDRESS ..........: 3030 ROOSEVELT AVE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP... :
TELEPHONE .........
ADAM P MYETICH
LIC # ETELEPLA
TELECOM PLACEMENT, INC
15405 LITTLE EAGLE CREEK AVE
ZIONSVILLE, IN 46077
(317) 752-7758
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEWIBAL
---------- ---------- ---------- ----------
104 00 0.00 104 .00 0 .00
---------- ---------- ---------- ----------
104 00 0.00 104 .00 0 .00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
104.00
1057
104.00