HomeMy WebLinkAbout07060155 Application
CONTRACTOR
INFORMATION:
APPLICANT
INFORMATION:
TYPE of WORK:
PROPERTY
OWNER
INFORMATION:
INSPECTION
INFORMATION:
City of Carmel! Clay Township -# () 70&{)/ Sf
APPLICATION FOR ELECTRICAL INSPECTION
I
NAME /f- ,7/ ,6. -t:ttYC7' ,.:-
C;,,t6,,.-? C. 'p;/;rT
PHONE
FAX
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Street Address
City
f~""lAl'v?'$
CONTACf PHONE,
State
-:;C;~4/V4.-
Zip
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NAME
,['..6 // C. n 7/
Property~~ /'
(or agent')
OR
""/7 - 7~-
- Contractor L/~o("'- ~7';f6-
Representative ~
RESIDENTIAL:
COMMERCIAL: J<
PROPERTY OWNER NAME(S):
PHONE:
SISe-
STREET ADDRESS:
/?-77 ?t./. /J'd 5-ry~.,,1"
City State
~"r'M/,/tt-~t, ~ :Z;:,-eX-
Zip
STREET ADDRESS (INSPErnON LOCATION):
Zipl
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City
State
.. CV'ol.Y/
l11"nt'L -:;t:;.v~
TIME OF INSPECTION:
fII
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND? !
TYPE OF IMPROVEMENT:
o UPGRADE SERVICE: From
to
DYES
o NO
o UPGRADE PANEL BOARD(S)
Number of NEW CIRCUITS:
I
I
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.
_~~0~d
Signature .
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
Number of METERS:
I
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)
~ CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
C,Ut',1 L. ~dr
PRINT
{"hrJ/v7
!!fATE '
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach maD of insDection location)
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YMnO ?#tI1~r'
I
I FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspections I
S:PermitsjFormsjElectrical.Appllcation Apr 2007
Driving Directions from I Civic Sq, Carmel, IN to 784 Wilson Terrace Ct, Carmel, IN
Page I 0[2
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entire map, try clicking the "Printer-Friendly" link at the top of your results page.
1~
l1li 1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
5 minutes
Maneuvers
_784 Wilson Terrace Ct
Carmel, IN 46032-1506, US
Total Est. Distance:
1.82 miles
Dista nce
<0.1 miles
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&
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.-di.
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1: Start out going WEST on CIVIC SQ toward GRADLE DR.
2: Turn RIGHT onto GRADLE DR.
0.1 miles
3: Turn LEFT onto 3RD AVE SW.
0.2 miles
4: Turn RIGHT onto W CARMEL DR.
0.5 miles
5: Turn RIGHT onto S GUILFORD RD.
0.8 miles
6: Turn RIGHT onto WILSON TERRACE CT.
<0.1 miles
_ 7: End at 784 Wilson Terrace Ct
Carmel,IN46032-1506, US
Total Est. Time: 5 minutes Total Est. Distance: 1.82 miles
http://www.mapquest.com/directions/main.adp ?go= I &do=nw &rrnm= I &un=m&cl=EN&q... 6/20/2007
Driving Directions from I Civic Sq, Carmel, IN to 784 Wilson Terrace Ct, Carmel, IN
Page 2 of2
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. MapQuest and its suppliers assume no responsibility for any
loss or delay resulting from such use.
http://www ,mapquestcom/directions/main,adp ?gO= I &do=nw &rrnm= I &un=m&c 1= EN &q". 6/20/2007