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CITY OF CAR,ME;rt/
PERMIT RECEI:.fr
OPERATOR: vdo1an
COpy # 1
See: Twp: Rng: Sub: B1k: Lot:
PARCEL ID """,,: ELECTRICAL
DATE ISSUED""",: 07/27/2007
RECEIPT #"""",: 25856
REFERENCE ID # ",: 07070192
SITE ADDRESS"""
SUBDIVISION "",,:
CITY """""",: CARMEL
IMPACT AREA ,.....:
OWNER............: BRIGHTHOUSE NETWORK
ADDRESS..........: 3030 ROOSEVELT AVE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS......... .:
CITY/STATE/ZIP ...:
TELEPHONE. ........
TELECOM PLACEMENT
LIe # ETELEPLA
TELECOM PLACEMENT, INC
15405 LITTLE EAGLE CREEK AVE
ZIONSVILLE, IN 46077
(317) 752-7758
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 0 00 104 .00 0.00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
104.00
------------
------------
104.00
CITY OF CARMEL I CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For ELECTRICAL INSPECTION
Permit #: 07070192
Date: 07/27/2007
PARCEL ID #: ELECTRICAL
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION:
Township?: Zoning:
CARMEL, IN
Flood Zone:
Lot Split:
PROPERTY OWNER INFORMATION:
Name: SRIGHTHOUSE NETWORK
Ph. #: 3176329077 Fax #:
Street Address: 3030 ROOSEVELT AVE INDIANAPOLIS, IN 46218
CONTRACTOR INFORMATION:
Name: TELECOM PLACEMENT, INC
Ph. #: (317) 752-7758 Fax #: (317) 769-4645 Email:
Street Address: 15405 LITTLE EAGLE CREEK AVE ZIONSVILLE, IN 46077
APPLICANT INFORMATION:
First Name: ADAM
Ph. #: Fax #:
Street Address:
Last Name: MYETICH
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 INSPECTION FOR POWER SUPPLY CABINET
FOR BRIGHTHOUSE CABLE LOCATED ON SOUTH WEST CORNER
OF 11684 WHISPER BAY CT, MAP IN FILE . NO NOTES'
I
I
. I
This permit is valid only if construction commences within one (1) 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 date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use,of
Lmd 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" (Z~ 289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of
Indiana, and all Acts amendatory thereto. I further certify that only kitchen, batb, and floor drains aTe connected to the sanitary sewer. J
further certify that the construction will not be used or occupied until a Certific.1.teofOccupancyhas been issued by the Department bf
Community Services, Carmel, Indiana.
APPLICANT NAME: ADAM
FEES:
CII ELECTRICAL/METERS.
MYETICH
104.00