HomeMy WebLinkAbout07060205 Application
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( ~ I City of Carmel/Clay Township
\ "" // APPLICATION FOR ELECTRICAL INSPECTIONl
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Zip I
NAME
CONTRACTOR
INFORMATION:
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Street Address
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NAME
APPLICANT
INFORMATION:
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Property~
(or agent)
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TYPE of WORK:
RESIDENTIAL:
PROPERTY OWNER NAME(S):
PROPERTY
OWNER
INFORMATION:
'5 13' <:.-
STREET ADDRESS:
1;177 tU/,/
INSPECTION
IN FORMATION:
DATE OF INSPECTION:
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TYPE OF I,MPROVEMENT:
o UPGRADE SERVICE: From
to
o UPGRADE PANEL BOARD(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
PHONE
FAX
City
State
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CONTACT PHONE:
OR
COMMERCIAL: /
PHONE:
City State Zip I
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City State Zip
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TIME OF INSPECTION:
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,
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND? I
DYES
o NO
Number of NEW CIRCUITS:
Number of METERS: I
,
I CERTIFY THAT THE )NFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.
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PRINT
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tlATE / '
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
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. -77/Pe,
FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspectibns
I
S:Permits/Forms/Electrical Application Apr 2007
Driving Directions from 1 Civic Sq, Carmel, IN to 1119 W Main St, Carmel, IN
Page 1 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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.. 1119 W Main St
Carmel, IN 46032-1435, US
_ 1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
6 minutes
Maneuvers
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Total Est. Distance:
1. 76 miles
Distance
1: Start out going WEST on CIVIC SQ toward GRADLE DR.
2: Turn RIGHT onto GRADLE DR.
<0.1 miles
0.1 miles
3: Turn RIGHT onto 3RD AVE SW.
0.7 miles
4: Turn LEFT onto 2ND ST SW.
<0.1 miles
5: 2ND ST SW becomes 4TH AVE SW.
0.1 miles
6: Turn LEFT onto W MAIN ST.
0.7 miies
III 7: End at 1119 W Main St
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Total Est. Time: 6 minutes Total Est. Distance: 1. 76 miles
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http://www.mapquest.com/directions/main.adp?go= 1 &do=nw&rmm= 1 & 1 gi=O&un=m& 1... 6/21/2007
Driving Directions from 1 Civic Sq, Carmel, IN to 1119 W Main St, Carmel, IN
Page 2 0[2
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.mapquest.com/directions/main.adp?go=1 &do=nw&rmm= 1 &1 gi=O&un=m&l... 6/21/2007