HomeMy WebLinkAbout07060255 Application
City of Carmel/ Clay Township I
APPLICATION FOR ELECTRICAL INSPECTION
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NAME
PHONE
FAX
CONTRACTOR
INFORMATION: Street Address
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State
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NAME
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CONTACT PHONE:
APPLICANT
INFORMATION:
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Contractor
Representative "::--'1',,- ~7/.:t:-
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TYPE of WORK:
RESIDENTIAL:
COMMERCIAL: ~
PROPERTY OWNE~ NAME(S):
PHONE:
PROPERTY .
OWNER
INFORMATION:
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SfREET ADDRESS:
City
State
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STREET ADDRESS (INSPECTION LOCATION):
State
lip
INSPECTION
- INFORMATION:
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TIME OF INSPECTION:
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MOVING SERVICE FROM OVERHEAD
. TO UNDERGROUND?
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
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.! -
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Signature
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PRlNT ""ATE
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
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(Please attach maD of insDection location)
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COMMENTS or FURTHER LOCATION CLARIFICATION:
FEES: $ 100.00 for COlJlmercial Inspections; $ 55.50 for Residential Inspections
S:PermltsjFormsjElectrical Application Apr 2006
Driving Directions from I Civic Sq, Carmel, IN to [11100-11143] N Gray Rd, Carmel, IN Page I of2
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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:
10 minutes
_ [11100-11143] N Gray Rd
Carmel, IN 46033, US
Total Est. Distance:
3.97 miles
Maneuvers
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Distance
1: 5tart 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.
0.3 miles
4: Turn LEFT onto E CARMEL DR.
0.7 miles
5: Turn RIGHT onto N KEYSTONE AVE / IN-431 S.
1.4 miles
6: Turn LEFT onto E 106TH ST.
1.2 miles
<0.1 miles
7: Turn~ onto N GRAY RD.
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8: End at LI'U;;!>. Hi HI] N Gray Rd
Carmel, IN 46033, US
Total Est. Time: 10 minutes Total Est. Distance: 3.97 miles
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http://www.mapquest.com/directions/main.adp ?go= I &do=nw &rmm= I & I gi=O&un=m& I... 6/27/2007
Driving Directions from 1 Civic Sq, Carmel, IN to [11100-11143] N Gray Rd, Carmel, IN
Page 2 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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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
los5 or delay resulting from such use.
http://www.mapquest.com/directions/main.adp?go=1 &do=nw&rmm= 1& 1 gi=O&un=m& 1... 6/27/2007
Survey Boundaries
- Township Lines
Transportation
Abc Interstate Hwy Text
Abc U.S. HwyText
Abc State HwyText
= Interstate Highways
= U.S. Highways
- State Highways
:::lCII Primary Roads
- Minor Roads
o Parcels
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SCALE 1 : 6,655
500
FEET
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1,500
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http://www.co.hamilton.in.us/maps/county.mwf
Wednesday, June 27,2007 10:51 AM