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CITY OF CARMEL
PERMIT RECEIPT
cr
OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:04 Sub:166 Blk:30 Lot:30
PARCEL ID ........: 1610300412021000
DATE ISSUED.......: 07/20/2007
RECEIPT #.........: 25811
REFERENCE ID # ...: 07070138
SITE ADDRESS ...... 716 HICKORY DR
SUBDIVISION ......: CARMEL VILLAGE
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: GUY HAFFLEY
ADDRESS ..........: 3510 E 96TH STREET #27
CITY/STATE/ZIP ...: INIDANAPOLIS, IN 46240
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
KISTLER ELECTRIC
LIC # EKISTLERE
KISTLER ELECRIC
4924 E 23RD ST #F
INDIANAPOLIS, IN 46218
(317) 562-0100
IRESELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
57 .50 0 .00 57 .50 O. 00
---------- ---------- ---------- ----------
57 50 0 .00 57 .50 O. 00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
57.50
3532
------------
------------
57.50
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For. ELECTRICAL INSPECTION
Permit #: 07070138
Date: 07/20/2007
PARCEL 10 #: 1610300412021000
LOT & SUBDIVISION: 30 CARMEL VILLAGE
ADDRESS OF CONSTRUCTION: 716 HICKORY DR
Township?: 18 Zoning: R2
PROPERTY OWNER INFORMATION:
Name: GUY HAFFLEY
Ph.#: 3175620100 Fax#:
Street Address: 3510 E 96TH STREET #27 INIDANAPOLlS, IN 46240
CARMEL, IN 46032
Flood Zone:
Lot Split:
CONTRACTOR INFORMATION:
Name: KISTLER ELECRIC
Ph. #: (317) 562-0100 Fax #:
Street Address: 4924 E 23RD ST #F
Email:
INDIANAPOLIS, IN 46218
APPLICANT INFORMATION:
First Name: ZACH
Ph. #: Fax #:
Street Address:
Last Name: BIRD
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial:
Service Upgrade: Current Amperage:
Panel Board Upgrade: New Meter Service:
Number of New Circuits: Number of New Meters:
Relocated Structure Connection: Moving Service (Overhead to Underground):
Alteration, Addition, Remodel, or Repair to Existing Distribution System:
Upgrade Amperage:
Row Signal:
Special Notes/Conditions:
ELECTRICAL INPSECTION, 716 HICKORY DRIVE FOR
UPGRADE FROM 100-200 AMP. . NO NOTES'
This permit is valid only if cnnstn\ction commences within one (1) year of the date of issuance of the State Commercial Design Rel&ase.
All construction must be completed (C/O issued) within two (2) years of the issuance date. I
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 ..\ich, and conform to, aU applicable laws of rhe Srare of Indiana, and rhe "Zoning
Ordinance of Carmel Indiana -1993" (Z-289) and amendments, adopred under authority of r.c 36~7 ct 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 s~wer. I
funher certjfy that the construction will not be used or occupied until a CertjfjcateofOccupancyhas been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: ZACH
FEES:
RES ELECTRICAL/METERB.
BIRD
57.50