HomeMy WebLinkAbout07070134 Receipts/Permits
City of Carmel/ Clay Township
APPLICATION FOR ELECTRICAL INSPECTION
07D70/3
CONTRACTOR
INFORMATION:
APPLICANT
INFORMATION:
TYPE of WORK:
PROPERTY
OWNER
INFORMATION:
RESIDENTIAL:
PROPER~~E![!~~)h.+'5 e Gr(A~(4c1 ffoA
c' . Dol ./'-<!'-5
STREET ADDRESS:
NAME
/-., A, W-ekb Hr>fvZt-
Street Address
I '1 ~ .,;2 eve ~ (( p .
NAME
L()L v /r
Wdlo
PHONE
FAX
N/A
Property Owner
(or agent)
~(1-713-J2C;t
City
IV ohl t:~ J ( 7 ~
State
Zip I
4' GDt!6
I
I
I{j\J
CONTACT PHONE:
~ (7-7/
- ~ b 7t;'
~
~
OR
Contractor
Representative
COMMERCIAL:
PHONE:
State
Zip
o;7~ e/-
STREET ADDRESS (INSPECTION LOCATION):
~~~6~~~~~N: //7 ~ (; Yah JJrfl/C
DATE OF INSPECTION:
TYPE OF IMPROVEMENT:
o UPGRADE SERVICE: From
to
o UPGRADE PANEL BOARD(S)
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
~W 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
City
C~rnd ~(LJ
'//tJJ 2
TIME OF INSPECTION:
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
DYES
~
Number of NEW CIRCUITS: {
Number of METERS: I
T THE INFORMATION CONTAINED
IS COMPLETE AND ACCURATE.
!J~
7//91:17
"DATE f
&"'V"'-r Jj, L.u~L b
PRINT
COMMENTS or FURTHER LOCATION CLARIFICATION:
~tv.U'-+ } 1'5U-) Vh~ 'S\V~I\
(Please attach maD of insDection location)
~#-5 .
FEES: $ 104.00 for Commercial Inspections; $ 57.50 for Residential Inspections
I
S:Permlts/Forms/Electrlcal Application Apr 2007
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