HomeMy WebLinkAbout07060104 Application
CONTRACTOR
INFORMATION:
City of Carmel! Clay Township ~ D7 D& 0 I D~ I
APPLICATION FOR ELECTRICAL INSPECTION
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Contractor L,':"''/c.- -r"'77?e>1
Representative
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NAME
PHONE
FAX
Street Address
City
State
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CONTACf PHONE:
NAME
APPLICANT
INFORMATION:
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Property Owner
(or agent)
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OR
TYPE of WORK:
RESIDENTIAL:
COMMERCIAL:
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PROPERTY OWNER NAME(S):
PHONE:
PROPERTY
OWNER
INFORMATION:
51SC-
STREET ADDRESS:
Clty
State
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City
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INSPECTION
INFORMATION:
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TIME OF INSPECTION:
/I,
MOVING SERVICE FROM OVERH!=AD
TO UNDERGROUND?
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TYPE OF IMP
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: I
o NEW METER SERVICE (Le. Fountain in pond;
Subdivision street or signage .lighting; Installation of
new utility services for an area)
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I CERTIFY THAT THE INFORMATION CONTAII'!ED
ON THIS FORM IS COMPLETE ACCURATE;
o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
o CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
COMMENT or FURTHER LOCATION CLARIFICATION: (Please attach maD of insDection location)
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PRINT
6-/:1-<.) 7
DATE
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FEES: $ 104;00 for Commercial Inspections; $ 57.50 for Residential Inspections
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S:Pennlts/Forms/Electrlcal Application Apr 2007 I
Driving Directions from 1 Civic Sq, Carmel, IN to 14595 River Rd, Carmel, IN
Page 1 of2
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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.
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1m 1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
15 minutes
Ma neuvers
_ 14595 River Rd
Carmel, IN 46033-9617, US
Total Est. Distance:
8.12 miles
Distance
1m
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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 1 IN-431 N. Continue to follow IN-431
~ N.
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1. 5 miles
6: Take the 146TH ST ramp.
7: Turn RIGHT onto E 146TH ST.
0.6 miles
4.7 miles
8: End at 14595 River Rd
Carm5'i-IN460 3 ~::96,17,U,~
Total Est. Time: 15 minutes Total Est. Distance: 8.12 miles
http://www.mapquest.com/directions/main.adp?go=1 &do=nw&rmm=1 & 1 gi=O&un=m& 1... 6/13/2007
Driving Directions from 1 Civic Sq, Carmel, IN to 14595 River Rd, Cannel, IN
Page 2 o'f 2
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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.
All right?.E_s_erve~hJ,'-s_e_S_u_bj~ct t9----.LL(:en?~LCQRYLight
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=l&do=nw&nnm=1 & Igi=O&un=m& 1... 6/13/2007