HomeMy WebLinkAbout07040221 Application
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City of Carmel/ Clay Township, 070 4 02 ~ J
APPLICATION FOR ELECTRICAL INSPECTION
NAME
PHONE
FAX
CONTRACTOR . -~y,
INFORMATION: Street Add,ess
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City
State Zip
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APPLICANT
INFORMATION:
,?6' ,f c./f, 1'r
property~ 1/
(or agent) r-
,,-
Contractor L.~~uf ~""r?C-
Representative( 517} d"6';>'-!7~Y
OR
TYPE of WORK:
RESIDENTIAL:
COMMERCIAL: ~
PROPERlY OWNER NAME(S):
PHONE:
PROPERTY
OWNER
INFORMATION:
51'3 C-
STREET ADDRESS:
City
State
I
Zip
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Zip
,
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INSPECTION
INFORMATION:
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State
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DATE OF INSPECTION:
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TYPE OFIMPROVEMENT:
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TIME OF INSPECTION:
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
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)
o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
;f' CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE .
Signature
C~L--i'e'r/ C'~7/
PRINT
COMMENTS or FURTHER LOCATION CLARIFICATION:
A'v'f/b &~~c/ - / c;..",.,h.
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(Please attach maD of insDection location)
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FEES: $ .100.00 for Commercial Inspections; $ 55.50 for Residential Inspections
S:Permlts/FormsjElectrical Application Apr 2006
Driving Directions from 1 Civic Sq, Cannel, IN to 14141 N Gray Rd, Camlel, IN
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Page 10[2
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1m 1 Civic Sq
Carmel, IN 46032-2584, U5
_ 14141 N Gray Rd
Carmel, IN 46033-8735, US
Total Est. Time:
10 minutes
Maneuvers
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Total Est. Distance:
3,91 miles
Distance
1: Start out going EAST on CIVIC SQ toward GRADLE DR.
2: Turn LEFT onto GRADLE DR,
<0.1 miles
<0.1 miles
3: Turn LEFT onto 5 RANGE LINE RD,
0,3 miles
4: Turn RIGHT onto E 126TH ST.
0.7 miles
S: Turn LEFT onto N KEYSTONE AVE 1 IN-431 N.
0.4 miles
6: Turn RIGHT onto E MAIN ST.
1.2 miles
7: Turn LEFT onto N GRAY RD.
0.9 miles
8: End at 14141 N Gray Rd
Carmel, IN 46033-8735, US
Total Est. Time: 10 minutes
Total Est. Distance: 3,91 miles
http://www.mapquest.com/directions/main.adp?go= I &do=nw&nnm= I &un=m& lrc=L I A.. 4/27/2007
Driving Directions from 1 Civic Sq, Carmel, IN to 14141 N Gray Rd, Carmel, IN
Page 2 of2
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entire map, 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.
hltp://www,mapquesLcom/directions/main,adp?go= 1 &do=nw&lmnF 1 &un=m& 1 rc=L 1 A" 4/27/2007
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