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HomeMy WebLinkAbout07070011 Application City of Carmel/@lay Township APPLICATION FOR ELECTRICAL INSPECTION ::Ii- '707 COIl NAME ONTRACTOR NFORMATION: v. .. INc.. 31=i- -"?5"z -'? S-~ - 3171-- T<-"'i ts.l/5"' Oty State Zip PHONE FAX IS NAME .PPLICANT NFORMATION: Property Owner (or agent) YPE of WORK: RESIDENTIAL: PROPERlY OWNER NAME(S): ROPERTY iWNER NFORMATION: B 30 irO t2ceSE:.VEt.--=t .J€ STREET ADDRESS (INSPEmON LOCATION): NSPECTION vJ (Sc., ,(.\- ST NFORMATION: DATE OF INSPECITON: YPE.OF;IMPROVEMENT: o UPGRADE SERVICE: From to o UPGRADE PANEL BOARD(S) o ADDmON, ALTERATION, REMODEL, or REPAIR TO AN EXISTING ELECTRICAL DISTRIBUION SYSTEM )4 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 CONNECITON or RECONNECITON TO A RELOCATED STRUCTURE _\JC........c 1,...1 CONTACT PHONE: "3("'f -'?--5?--(t.> Contractor L OR Representative COMMERCIAL: X PHONE: S( - c..~'2. - Oty State Zip I,.,DI't;U ,iJ ~(,Z1e> City State Zip c.~L (;--.1 TIME OF INSPECITON: MOVING SERVICE FROM OVERHEAD TO UNDERGROUND? DYES I)( NO Number of NEW CIRCUITS: Number of METERS: j.. I CERTIFY THAT THE INFORMATION CONTAINED ON THIS FORM IS COMP AN: AU' Signature ' . . AdO-M friieJIL k PRINT +(zfOf- DA OMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach maD of insDection location) ULt "-F H:> LE.fr 'is :s ~ - I 5 Ce 2:, FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspections cmv..t... i h .;".. : l' " , :' , " . I' . :' 1 ! :~: .1" :' I " . : I I " . :' , " . :' I ! I' ! I~: /~ : .',' I .~:' : :......... : ......................... , , , , , , ',' ,.' I":' , , , , , , , , , , , . , . , , 1~ , , , , , . :~ : ,. . . - . . " L8;'~ -=:,_-o-____~5.!._._ . . . . -~_!. '~-' : l, ~F=~~:~:~~::.::,-.~:~; , ' ; . , . I . . \ ! " " 'I " '1 " 'I " ., ., ., " ,. " ., " 'I , , , 1 " , 1 , , , 1 , , 'I " , 1 , , , 1 , , , 1 , , '. , , , 1 , , ,I , , , . ~: I ~, i ~: i . , , I , , : ! , 1 , , , 1 , , , 1 , . , I , . , 1 , , : ! , I , , , 1 , , : ! , 1 , , , , , , : ! , 1 , , : ! : ! : I " , ~'..!i' SIX PDINT~S ~. RD W9 ---"---"-' , , " , , , , , , , , .., , , " " :i :i " " " :! ,; " " '-" I: ~ :! c :! " c ,: ~ ,I " " " " " " " .' .' " " " " " ~-".. :::.: ,! .~~... I ~.... :! -~ ! l! :! II '; J~ ~~ ! :! H ,,' :' M' . -G>e"'" ___ ___'10':- 8 :' , ,- ,- -' ~ ;-:"' ;..~~~ ~~.:::n f--' ,:: I , . , : 8 . 8 ~~.:~ ,G' , , , , :: :~ :. r- -'"'", ':'8 --"f.{~ , :.=;. '" t<' ::::: :(;;;"' , , :8 " , ,- r. '. / ! , , 8 --~. '_',25":. ~~~ 8 ::~~H "",,,,;' , \'G.. @ , , ^ !...o~' " . , , SPf/ I>vC F 4f/AfS Of/~ " "8~. 6'~. 1,,- ~ " VL -- " - 8 " ~' .::? '" " . [~~[TI-~~, '>.:!~~-- ).> " n " BROOKSIDE 0 " ~ /< ~ .' ,@.... ",.' ~ (..-1k~ ,Gl- -.z~. . ~ ~ , ..-:-.-;.................... ~ '" -; I 000 ~~ ~e S. V> -; --- V> '" o T '" ~ CD o '" ~ ~i~~~~ ~.,..:;::~_r -....;,,;.. ^ , ? , , ,NO 1 S , , : , , , , , . , , , : , , ^' -, 5: , "i~-l~------@ ---~------ ~@m \;j'd) 26:;-"""-_--- , , " " " -' ' .,' "'_\' t ~ " " ,. ~~',,\\ ~ " " , , - , , " " ,,~ -- n N~ ~ n;~~~,o ... _ "". M;:; ~"':r:;;;-" .. en ~:., ~{i:, @) 1 .1-- ~Ji~ ;,..",0 " ,- ~;;;; ......;" " ,/ / N~6N ^' ~ ~ :.,,,,"'''' ~'::~~ ;''' .\~~~~g~ 8 ''', 8. FOXDALE LAKE""' e ..__....__-@m..~~u;@:~~~~ 8 - m '" ~___._..,r,-;-,,' --0--------- - - ~ " ____:-"";uu....-@I--. -- ~ 8 "" n e --'ii ,,____--u 8 " , "\ < @ :-nl/ '" , p= -- 80---- !; CV+----~---~~ ~ e;J '.?l/ '" ,/ " " / ~ ~ --- 0" --- " , "i,"ij' 8 0" ."~~E :-;:~g ...""...-^'>< :."",~;" __ n SALSBURY CREEK OR ___~200'!~1_ .~-~-_._._~--_._-----~~--_._- -.------------------------- I I. ", ,,' PRt~' L