HomeMy WebLinkAbout07050137 Receipts/Permits
Item
1 of
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COpy #
1
I
I
vdolan,
1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: ELECTRICAL
DATE ISSUED.......: 05/16/2007
RECEIPT #.........: 25094
REFERENCE ID # .... 07050137
SITE ADDRESS ...... 12929 SAINSBURY STREET
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: BRIGHTHOUSE
ADDRESS ..........: 3030 ROOSEVELT AVENUE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
TELECOM PLACEMENT
LIC # ETELEPLA
TELECOM PLACEMENT, INC
15405 LITTLE EAGLE CREEK AVE
ZIONSVILLE, IN 46077
(317) 752-7758
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
104.00 0.00 104.00
0.00
104.00
AMOUNT
104.00
NUMBER
CASH
TOTAL RECEIPT :
104.00
104.00
I
NEW BAL
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0.00
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0.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRiCAL TNSPECTiON
Permit #: 07050137
Date: 05/16/2007
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PARCEL 10 #: ELECTRICAL
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION:
Township?: Zoning:
12929 SAINSBURY STREET CARMEL, IN
Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: BRIGHTHOUSE
Ph. #: 3177527758 Fax #: 3177694645
Street Address: 3030 ROOSEVELT AVENUE 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. #: Fax #:
Street Address:
Last Name: MYETICH
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial:
Service Upgrade: Current Amperage:
Panel Board Upgrade: New Meter Service:
Number of New Circuits: Number of New Meters:
Relocated Structure Connection: Moving Service (Overhead to Underground):
Alteration, Addition, Remodel, or Repair to Existing Distribution System:
Upgrade Amperage:
Row Signal:
Special Notes/Conditions:
ELECTRICAL INSPECTION FOR CABLE BOX, CLOSEST
ADDRESS GIVEN. 12929 SAINSBURY ST, ADAM MYETICH
MAP INCLUDED, VILLAGE WEST CLAY AREA . NO NOTES'
This permit is valid only ir 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, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the tjse of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoniing
Ordinance of Carmel Indiana -1993" (Z~289) and amendments, adopted under authority ofLe. 36~7 et seq, General Assembly of the State of
,
Indiana, and all Acts amendatory thereto. J further certify that only kitchen, bath, and floor drains arc connected to the sanitary se\vcr. I I
further certify that the construction will not be used or occupied until a Cerri(jcoltc of Occup:wcy has been issued by the Department of
Community Services, Carmel, Indiana. I
APPLICANT NAME: ADAM
FEES:
CII ELECTRICAL/METERB.
MYETICH
104.00