HomeMy WebLinkAbout07040101 Application
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APR-13-2007 FRI 10:24 AM
FAX NO,
p, 02/02
iJ 0701/-0 I () J
City of Carmell Clay Township (oft Lo+ /7)
APPLICATION FOR ELECTRICAL INSPECTION
NAM< PHONE FAX
Kinder Electric 842-0809 842-9366
CONTRACTOR
INFORMATION: street Address City State Zip
9087 Technology Drive Fishers IN 46038
NAME CONTAcr PHONE:
Tramca, Inc. (317) 710-4617
APPLICANT
INFORMATION: Property Owner Contractor
(or agent) OR Representative *
TYPE of WORK: RESIDENTIAL: COMMERCIAL: *
PROPERlY OWNER NAME{S): PHONE:
.PROPERTY Laurel Ridge Homeowners Assoc. Inc. (317) 844-4467
OWNER
INFORMATION: STREET ADDRESS: City State Zip
210 E. 91st Street Indianapolis IN 46240
mEETA~:;;/N ~~~~ City State Zip
INSPECTION
INFORMATION: ?j/ /&
DATE OF INSPECTION.: M TIME OF INSPECTION: .
. I MOVING ROM 0
TYPE OF IMPROVEMENT.
SERVICE F
TO UNDERGROUND?
VERHEAD
o UPGRADE SERVICE: From
to
DYES
B NO
o UPGRADE PANEL BOARD(S)
Number of NEW CIRCUITS:
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISITNG ELECTRICAL DISTRIBUION SYSTEM
Number of METERS:
I CERTIFY Tl-lAT THE INFORMATION CONTAINED
o THIS FO IS COMPLETE AND ACCURATE.
12([ NEW METER SERVICE (i.e. Fountain In pond;
Subdivision street or slgnage i1ghtlng; Instailation of
new utility services for an area)
~
o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
o CONNECTION or RECONNECTION TO A RELOCATED
SfRUCTURE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach maD of insDection location)
FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspections .