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CITY OF CARMEL
1 PERMIT RECEIPT
OPERATOR:
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PARCEL ID ........: ELECTRICAL PERMIT
DATE ISSUED.......: 08/03/2007
RECEIPT #.........: 25922
REFERENCE ID # ...: 07080019
SITE ADDRESS...... 11112 N. GRAY ROAD
SUBDIVISION ......:
CITy.............: CARMEL
IMPACT AREA ......:
OWNER ............: AT&T
ADDRESS..........: 220 N. MERIDIAN
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46204
RECEIVED FROM ....:
CONTRACTOR. ......:
COMPANY. .........:
ADDRESS ..........:
CITY/STATE/ZIP... :
TELEPHONE..... ....
ECSI
LIC # EELECCON
ELECTRICAL CONTRACTING SERVICE
4907 N GERMAN CHURCH ROAD
INDIANAPOLIS, IN 46235
(317) 826-3274
ICIIELEMTR FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
104. 00 O. 00 104. 00 O. 00
---------- ---------- ---------- ----------
104 .00 O. 00 104 00 O. 00
FEE ID UNIT QUANTITY
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
104.00
4745
------------
------------
104.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For ELECTRiCAL INSPECTION
Permit #: 07080019
Date: 08/03/2007
PARCEL 10 #: ELECTRICAL PERMIT
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11112 N. GRAY ROAD CARMEL, IN 46032
Township?: Zoning: Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: AT&T
Ph. #: 3178263274 Fax #: 3178263532
Street Address: 220 N. MERIDIAN INDIANAPOLIS, IN 46204
CONTRACTOR INFORMATION:
Name: ELECTRICAL CONTRACTING SERVICE
Ph. #: (317) 826-3274 Fax #:
Street Address: 4907 N GERMAN CHURCH ROAD
Email:
INDIANAPOLIS, IN 46235
APPLICANT INFORMATION:
First Name: LEE
Ph. #: 317-826-3274
Street Address: 4907
Last Name: SCROGHAM
Fax #: 3178263532
N GERMAN CHURCH INDIANAPOLIS 46235
46235
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: COM
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: Y
Special Notes/Conditions:
ElECTRIAl INSPECTION AT 11112 N. GRAY ROAD
INSTALLATION OF PHONE CABINET. NEAREST INTERSECTIO
KINGSWOOD AND GRAY ROAD, EAST SIDE OF STREET . NO NOTES'
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 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 la\vs of the State of Indiana, and the "Zoning
Ordinance of Carmel Indiana - 1993" (Z~ 289) and amendments, adopted under authority of I.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 arc connected to the sanitary sewer. I
further certify that the construction will not be used or occupied until a Ccrti{jc;1teo{Occup<lncyhas been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: LEE
FEES:
CII ELECTRICAUMETERB.
SCROGHAM
104.00