HomeMy WebLinkAbout07060206 Application
. City of Carmel/Clay Township I
APPLICATION FOR ELECTRICAL INSPECTION
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NAME
PHONE
FAX
CONTRACTOR
INFORMATION: Street Address
<:.-
City
State
/.:1?
NAME
CONTACT PHONE:
APPLICANT
INFORMATION:
'-6 yr
Prope~
(or agent)
V'"
OR
Contractor ,,'./"<: ~~ _
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Representative
TYPE of WORK:
. .., RESIDENTIAL:" .
."" .." .COMMERCIAL: X..,,, .
PROPERTY OWNER NAME(S):
PHONE:
PROPERTY
OWNER
INFORMATION:
SlREET AODRESS:
oty
State
ZJp
~77 &V
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STREET ADDRESS (INSPEcnON LOCATION):
State
Zip
INSPECTION
INFORMATION:
6r#zd. .-
TIME OF INSPECTION:
TYPE OF IMPROVEMENT:
,
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
D UPGRADE SERVICE: From
to
DYES
o NO
D UPGRADE PANEL BOARD(S)
DROW SIGNAL, SENSOR, MONITOR (i,e, Traffic Light)
,
I
I
I
,
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE',
..,~ I
.4~-.r ~, Cd
Signature '
Number of METERS:
I
Number of NEW CIRCUITS:
D ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
D NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services for an area)
D CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach maD of insDection location)
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PRlNT .
&, -;2;:2-0 7
DATE
/d:M/~ d~A-"-/
FEES: $ 100.00 for Commercial Inspections; $ 55.50 for Residential Inspections
S:Permlts/Forms/Electrlcal Application Apr 2006
Driving Directions from I Civic Sq, Carmel, IN to 11517 E Lakeshore Dr, Carmel, IN
Page I of2
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m 1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
7 minutes
_ 11517 E lakeshore Dr
Carmel, IN 46033-4424, US
Total Est. Distance:
2.20 miles
Maneuvers
Distance
lID
4
~
.
V
~
~
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 RIGHT onto S RANGE LINE RD.
0.6 miles
4: Turn LEFT onto E 116TH ST.
1.2 miles
5: Turn RIGHT onto E LAKESHORE DR.
<0.1 miles
-
6: End at 11517 E lakeshore Dr
C"rmel, IN 46033-442~,U?
Total Est. Time: 7 minutes
Total Est. Distance: 2.20 miles
http://www.mapquest.com/directions/main.adp ?go= I &do=nw &rmm= I &un=m& I rc= L I A... 6/22/2007
Driving Directions from I Civic Sq, Carmel, IN to 11517 E Lakeshore Dr, Carmel, IN
Page 2 of2
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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.mapquest.com/directions/main.adp?go= I &do=nw &rmm= I &un=m& I rc=L 1 A... 6/22/2007