HomeMy WebLinkAbout07060270 Application
City of Carmel! Clay Township I
APPLICATION FOR ELECTRICAL INSPECTION
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NAME
PHONE
FAX
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CONTRACTOR
INFORMATION: Street Address
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NAME
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State
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CONTACT PHONE:
APPLICANT
INFORMATION:
OR
Contractor
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Representative
TYPE of WORK:
RESIDENTIAL:
COMMERCIAL:
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PROPERlY OWNER NAME(S):
PHONE:
PROPERTY
OWNER
INFORMATION:
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STREET ADDRESS:
Oty
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Oty
State
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STREET ADDRESS (INSPECTION LOCATION):
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State
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INSPECTION
INFORMATION:
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TIME OF INSPECTION:
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TYPE OF IMPROVEMENT:
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 COMPLET~ ACCURATE.
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Signature ,.
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PRINJ"
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
FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspections
S:Permlts/Forms{Electrlcal Application Apr 2007
Driving Directions from I Civic Sq, Carmel, IN to 10699 Springmil1 Rd, Cannel, IN
Page 1 of2
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_ 1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
9 minutes
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Carmel, IN 46032-9509, US
Total Est. Distance:
3.95 miles
Distance
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 RIGHT onto E 116TH ST.
1.6 miles
5: Turn LEFT onto US-31 S.
1.0 miles
6: Turn RIGHT onto W 106TH ST.
0.3 miles
7: Turn RIGHT onto SPRING MILL RD.
<0.1 miles
8: End at 10699 Springmill Rd
Carmel, IN 46032-9509, US
Total Est. Time: 9 minutes Total Est. Distance: 3.95 miles
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Driving Directions from 1 Civic Sq, Cannel, IN to 10699 Springmill Rd, Camlel, IN
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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.mapqllest.com/directiol1s/main.adp?go= 1 &do=nw&nnm= 1 &lIn=m&c I=EN&q ... 6/28/2007