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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: e1lacey ~
COpy # . \)
Sec: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: ELECTRICAL
DATE ISSUED.... ...: 07/17/2007
RECEIPT #.........: 25775
REFERENCE ID # .... 07070059
SITE ADDRESS ......40 E 126TH ST.
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: CARMEL UNITED METHODIST CHURCH
ADDRESS..........: 621 S. RANGELINE RD.
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
BRET BOND
LIC # EWIREELE
WIREWORKS ELECTRIC
18009 SANIBAL CIRCLE
NOBLESVILLE, IN 46060
(317) 414-6405
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
104 00 0.00 104 .00 o. 00
---------- ---------- ---------- ----------
104 .00 o. 00 104 .00 0 00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
104.00
1084
------------
------------
104.00
CITY OF CARMEL / CiA Y TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICA nON
For: ELECTRICAL INSPECTION
Permit #: 07070059
Date: 07/17/2007
PARCELID #: ELECTRICAL
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION:
Township?: Zoning:
40 E 126TH ST. CARMEL, IN 46032
Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: CARMEL UNITED METHODIST CHURCH
Ph. #: 3178488799 Fax #:
Street Address: 621 S. RANGELlNE RD. CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: WIREWORKS ELECTRIC
Ph. #: (317) 414-6405 Fax #:
Street Address: 18009 SANIBAL CIRCLE
Email:
NOBLESVILLE, IN 46060
APPLICANT INFORMATION:
First Name: BRET
Ph.#: 3178488799
Street Address: 621
Last Name: BOND
Fax #:
S. RANGELlNE RD CARMEL
46032
46032
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: COM
Service Upgrade: Y
Amperage: 200
Panel Board Upgrade: N
Current Amperage: 100
Upgrade
New Meter Service: N
,
Row Signal: N
Number of New Circuits: Number of New Meters:
Relocated Structure Connection: N Moving Service (Overhead to Underground): N
Alteration, Addition, Remodel, or Repair to Existing Distribution System: N
Special Notes/Conditions:
ELECTRICAL INSPECTION AT 40 E. 126TH ST. SERVICE
UPGRADE FROM 100 TO 200. MAP INCLUDED. . NO NOTES'
This permit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release.
All construction must be completed (C/O issued) within two (2) years of the issuance datc.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning
Ordinance of Carmel Indiana -1993" (2-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of
Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I
further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: BRET
FEES:
ell ELECTRICAL/METERB.
BOND
104.00