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HomeMy WebLinkAbout07060086 Application CITY OF CARMEL / CLAY TOWNSHIP IMPROVEMENT LOCATION PERMIT APPLICATION For: ELECTRICAL INSPECTION Permit #: 07060086 Date: 06/08/2007 PARCEL ID #: ELECTRICAL LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: Township?: Zoning: CARMEL, IN Flood Zone: Lot Split: PROPERTY OWNER INFORMATION: Name: Ph. #: 3178439911 Fax #: Street Address: CONTRACTOR INFORMATION: Name: DUKE Ph. #: Fax #: Email: Street Address: 4201 KESSLER BLVD N DR INDIANAPOLIS, IN 46208 APPLICANT INFORMATION: First Name: Last Name: Ph. #: Fax #: Street Address: PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION Residential or Commercial: RES 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 AT 133 PINEVIEW DR #6, RE-INSTALl. BOX IS LOCATED TO THE RIGHT OF COMMON FRONT DOOR OF 133 PINEVIEW APT. BUILDING. . NO NOTES' This permit is valid only if constmction 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 u~e of land or structures requested by this application will 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 [he sanitary sewer. I I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Departmen~ of Community Services, Carmel, Indiana. APPLICANT NAME: FEES: RES ELECTRICAl/METERB. 57.50 Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT OPERATOR: COPY # elacey I%) Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID ... .....: ELECTRICAL DATE ISSUED.......: 06/08/2007 RECEIPT #.........: 25387 REFERENCE ID # ... =<:070'6'O"O"8'6J SITE ADDRESS ...... SUBDIVISION ......: CITY .............: CARMEL IMPACT AREA ......: OWNER ............: ADDRESS.......... : CITY/STATE/ZIP ...: RECEIVED FROM....: CONTRACTOR .......: COMPANy.......... : ADDRESS ..........: CITY/STATE/ZIP ...: TELEPHONE ......... ANTHONY MONTGOMERY LIC # DUKE DUKE 4201 KESSLER BLVD N DR INDIANAPOLIS, IN 46208 IRESELEMTR FLAT RATE TOTAL PERMIT : METHOD OF PAYMENT 1. 00 AMOUNT PD-TO-DT THIS REC NEW 'BAL ---------- ---------- ---------- - - - - - -1- - - - 57. 50 O. 00 57. 50 !O. 00 --------~- ---------- ---------- ---------- 57.50 0.00 57.50 ;0.00 FEE ID UNIT QUANTITY AMOUNT NUMBER CASH TOTAL RECEIPT : 57.50 ------------ ------------ 57.50