HomeMy WebLinkAbout07070128 Application
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, I City of Cannell Clay Township rr~~ ,'(;~;;'~; i~.' ,'T:
/ APPLICATION FOR ELECTRICi.\!IL,':iT)lrnSPECTION/1 :,\"
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iF, 01)\ JUL 182007 I,i II!
PHONE /' U L\ L__ FAX I ql !
898-5674 898-5689 ,
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4621'9
NAME
CONTRACTOR
INFORMATION:
Brad Smith
Street Address
410 S. Franklin Road
NAME
APPUCANT
INFORMATION:
City
State
Indianapolis
IN
. al Contractors, Inc.
CONTACT PHONE:
Property Owner
(or agent) OR
. TYPE of WORK:
RESIDENTIAL:
PROPERTY OWNER NAME(S):
PROPERTY
OWNER
INFORMATION:
Dale Moulton
STREET ADDRESS:
1423 Chase Court
STREET ADDRESS (INSPECTION LOCATION):
INSPECTION
INFORMATION:
1423 Chase Court
DATE OF INSPECTION:
TYPE OF IMPROVEMENT:
~ UPGRADE SERVICE: From 400 to 800
'~ UPGRADE PANEL BOARD(S)
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISllNG ELECTRICAL DISTRIBUION SYSTEM
o NEW MffiR SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services ior an area) ,
898-5674
Contractor
Representative x
COMMERCIAL: X
PHONf::::
580-5900
City State Zip
Carmel u Indiana 46032
City State Zip
Carmel Indiana 46032
TIME OF INSPECTION:
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
o YES
o NO
Number of NEW CRCUrrS:
Number of METERS:
o ROW SIGNAL, SENSOR, MONITOR (I.e. Traffic light)
o CONNECTION or RECONNECTION m A RELOCATED
STRUCTURE
COMMENTS or FURTHER LOCATION ClARIFICATION: (PI- attach maD of insoectfon location)
S:Permits/FOmlslElectrlcal Application Apr 2006
feES: $ 100.00 ($104.00 after 4/2/07) for Commercial; $ 55.50 ($57.50 after 4/2/07) for Residential.,