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CITY OF CARMEL
PERMIT RECEIPT
If
OPERATOR:
COPY #
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I
vdolan
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See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ... .....: ELECTRICAL
DATE ISSUED.......:
RECEIPT #.........:
REFERENCE ID # ....
SITE ADDRESS ......
SUBDIVISION ......:
CITY. . . . . . . .. .. .. :
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY... .......:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
FEE ID UNIT QUANTITY
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
104.00
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104.00
OS/23/2007
25183
07050191
KINGSBORO ENTRY
CARMEL
KIRKPATRICK MANAGEMENT
5702 KIRKPATRICK WAY
INDIANAPOLIS, IN 46221
M.V.FARRAR ELECTRIC
LIC # EMVFARRAR
MV FARRAR ELECTRIC
4830 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226
(317) 545-7155
1. 00
AMOUNT PD-TO-DT THIS REC NEW, BAL
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104 00 0.00 104 .00 , O. 00
I
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104 .00 O. 00 104 00 0 .00
NUMBER
9838
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRICAL INSPECTION
Permit #: 07050191
Date: OS/23/2007
PARCEL ID #: ELECTRICAL
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION:
Township?: Zoning:
KINGSBORO ENTRY CARMEL, IN
Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: KIRKPATRICK MANAGEMENT
Ph. #: 3175704358 Fax #:
Street Address: 5702 KIRKPATRICK WAY INDIANAPOLIS, IN 46221
CONTRACTOR INFORMATION:
Name: MV FARRAR ELECTRIC
Ph.#: (317)545-7155 Fax#:
Street Address: 4830 INDUSTRIAL PARKWAY
Email:
INDIANAPOLIS, IN 46226
APPLICANT INFORMATION:
First Name: JOHN Last Name: GARZA
Ph. #: 3175704358 Fax #:
Street Address: ENTRY KINGSBORO DITCH/KINGSGATE CARMEL
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):
Alteration, Addition, Remodel, or Repair to Existing Distribution System:
Upgrade Amperage:
Row Signal:
Special Notes/Conditions:
ELECTRICAL INSPECTION FOR ENTRYWALL OF KINGSBORO
DITCH ROAD AND KINGSGATE, NEW METER SERVICE, JOHN
409-1036 . NO NOTES'
This permit is valid only if construction commences within one (I) 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 use of
land or structures requested by this application \vill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning
Ordinance of Carmel Indiana -1993" (Z-289) and amendments, adopted under authOrity of LC. 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 Ccrtific:lCC of OCCUPil11CY has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: JOHN
FEES:
CII ELECTRICAUMETERB.
GARZA
104.00