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HomeMy WebLinkAbout07040222 Application City of Carmel! Clay Township .j:r 0 f} 0 2fO 1-2-2- APPLICATION FOR ELECTRICAL INSPECTION NAME PHONE FM C<?NTRACTOR r if ie-errl INFORMATION: Street Address )17- 311'-& . (Ju $-~ State Zip City 1.2 '$6 J~ -E. 5 J<.!1. NAME .'..v' /11- ~ ~.."y,."'/<d CONTACT PHONE: '/ t: :Z 5"; APPLICANT INFORMATION: ,c.t:"",.;r (. /!.. // Property ~~ l/""" (or agent) ;'/7 -Y &:.;z.7'7~- , OR TYPE of WORK: u_ RESIDENTIA~:- -COMMERCIAl: PROPERTY OWNER NAME(S): PHONE: PROPERTY OWNER INFORMATION: ~/5 STREET ADDRESS: Oty State Zip INSPECTION INFORMATION: c-/ DATE OF INSPECTION: -t.L 5-?V t' d "'r.'1H-~c. ~..z. -..- State ZIp -::Z;~~Awa.- "2..J,," TIME OF INSPECTION: " -1'J1~t6 MOVING SERVICE FROM OVERHEAD TO UNDERGROUND? TYPE OF IMPROVEMENT: o UPGRADE SERVICE: From to o -YES o NO o UPGRADE PANEL BOARD(S) Number of NEW CIRCUITS: o ADDmON, ALTERATION, REMODEL, or REPAIR TO ANEXISTlNG ELECTRICAL DISTRIBUION SYSTEM Number of METERS: I 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. ~~-~6d Signature ' o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light) ~ CONNECTION or RECONNECTION TO A RELOCATED STRUCTURE . PRINT TS or FURTHER LOCATION CLARIFICATION: (Please attach maD of insDection location) -r v;// o.f! blut.c,.6C 6- 0 .. L:'-I'1~ 0/ /'/"'j",L /.J,,,t.t:. ~"'CYL . FEES: $100.00 for Commercial Inspections; $ 55.50 for Residential Inspections S:Permlts{FormsJElectrlcal Application Apr 2006 Driving Directions from 1 Civic Sq, Carmel, IN to 6300 E 131 st St, Carmel, IN . . Page 1 01'2 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. _,"0',,", (i ':2I,.J .,....,' J'i!/l .. 6300 E 131st St Carmel, IN 46033, US _ 1 Civic Sq Carmel, IN 46032-2584, US Total Est. Time: 12 minutes Maneuvers a ~.., '~,'\ Zfr; ~k-' '~l' 'W', ~4i '~' q* ~~~ ~'0. ..... 'ift; & ~ ~' "\: i~' 'Q" &I'Ji. W - Total Est. Distance: 4.35 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 S RANGE LINE RD. 0.3 miles 4: Turn RIGHT onto E 126TH ST. 0.7 miles 5: Turn LEFT onto N KEYSTONE AVE I IN-431 N. 0.4 miles 6: Turn RIGHT onto E MAIN ST. 1. 7 miles 7: E MAIN ST becomes E 131ST ST. 0.4 miles 8: Enter next roundabout and take 1st exit onto HAZEL DELL PKWY. Pass through 1 roundabout. <0.1 miles 9: Turn SLIGHT RIGHT onto E 131ST ST. 0.3 miles 10: End at 6300 E 131st St Car"'..el, IN"46033,,liS Total Est. Time: 12 minutes Total Est. Distance: 4.35 miles I http://www.mapquest.com/dircctions/main.adp?go=l &do=nw&nllm= 1 & 1 gi=O&un=m& I... 4/27/2007 priving. Directions from 1 Civic Sq, Carmel, IN to 6300 E 131 st St, Carmel, IN Page 2 ofl2 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. I I I I. I- .1 J J ! '1~ . 1 I oE W 2007 r;1'~pGUe51 All rights reserve_d. Us_~SJJQj~_ct_tQ_Li.c:_~Jl5~L<;:~R.Yllgh!; 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?go= 1 &do=nw&rmm= 1 & 1 gi=O&un~m& 1... 4/27/2007 ~. <~~ ':183 ~N r^?)f!J" ,Il ~'d~,~ "'" J ,''V<P", _. r"" I ' "c, ~ ^ , _ ~ J ~~ \ & ~!n ~111:k ~ u ~r:\ \ J.J. ~ ""', r 0>- '" 1Ii\,~ IV, >L7t". V ? ~ He 6J~~ :, r ~ " o. '\y "'~ ~ ~~ "'w '( t) 1_, '" ".'~ XLu if' ,:] -<. U 'y A" ,,- ~, ' I'L 1-. ~~ ~J.sIST Jk ~ ~ v CY 'Eje;STLSt. I '(c '" EV ,.,"~~ /, ". 131 'l::s E-13;S~ ~ @= CIC ;jj: ! r-" ;JiIq "":s \ i Ii. '$" ~ ~ . " ~ ~'" B "lliI ' i~ ~~&~ c~ i ' Ow ,," ~ 0 0 i5J " ~ ".( '. ~m~ !l:~ :b" l!>l' ",~"& LIEL , ..;J ..;;;;;"" ~ -1#- -;jJ m1I~~/ ""'2- / ~ ~ ~e