HomeMy WebLinkAbout07060103 Application
City of Carmel/Clay Township $ 07D~O} D ~
APPLICATION FOR ELECTRICAL INSPECTION
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CONTRACTOR ~.:::gc'i//c- -,?tJtJj-:
INFORMATION: Street Address City State Zip
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NAME
APPLICANT
INFORMATION:
,?b // C. v,-'!/
Property Owner
(or agent)
.y
TYPE of WORK:
RESIDENTIAL:
PROPERTY OWNER NAME(S):
PROPERTY
OWNER
INFORMATION:
5 /3 <:..-
STREET ADDRESS:
1;177 U/- /. 'i
STREET ADDRESS (INSPEcnON LOCATION):
INSPECTION <-I:z 3 Z- :/;!':
INFORMATION:
TYPE OF IMPROVEMENT:
o UPGRADE SERVICE: From
to
o UPGRADE PANELBOARD(S)
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
o NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services for an area)
o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
o CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
COM~~,,~:R4~~C:;N CLARIFICATION:
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CONTAcr PHONE:
JI7 ) J'6,;:29?~-.y
OR
Contractor .c-/~ 4""- -7u-/ltt;-
Representative
COMMERCIAL: ~
PHONE:
City
Zip1
State
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City
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State ZIp
v -'HI' L
TIME OF INSPECTION:
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
DYES
o NO
Number of NEW CIRCUITS:
Number of METERS: J
,
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE!
~~~~'
Signature
&,C-b"-Y/ C. ~,'i/
PRINT
tfr/5.o ;7
DATE
(Please attach maD of insDection location)
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S:PermltsjFormS{Electrlcar Application Apr 2007
FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspections
Driving Directions from 1 Civic Sq, Carmel, IN to 4232 E 126th St, Carmel, IN
Page 1 ~f2
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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_ 1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
7 minutes
.. 4232 E 126th St
Carmel, IN 46033-2450, US
Total Est. Distance:
2.12 miles
Maneuvers
Distance
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1: Start out going EAST on CIVIC SQ toward GRADLE DR.
2: Turn LEFr onto GRADLE DR.
<0.1 miles
<0.1 miles
3: Turn LEFr onto S RANGE LINE RD.
0.3 miles
4
w
4: Turn RIGHT onto E 126TH ST.
1.6 miles
l1li
5: End at 4232 E 126th St
Carmel, IN 46033-2450, US
Total Est. Time: 7 minutes
Total Est. Distance: 2.12 miles
http://www.mapquest.com/directions/main.adp?go= 1 &do=nw&nnm=l & Igi=O&un=m& I... 6/13/2007
Driving Directions from I Civic Sq, Carmel, IN to 4232 E 126th St, Carmel, IN
Page 2 6f2
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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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. MapQu€st and its suppliers assume no responsibility for any
loss or delay resulting from such use.
http://www.mapquest.comldirections/main.adp?go= I &do=nw&rmm= 1 & 1 gi=O&un=m& I... 6/13/2007
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