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CITY OF CARMEL
PERMIT RECEIPT
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See: Twp: Rng: Sub:334 Blk: Lot:276PT
PARCEL ID ........: 1713110213005000
DATE ISSUED.......: 08/09/2007
RECEIPT #...... ...: 25961
REFERENCE ID # .... 07080062
SITE ADDRESS ...... 10236 CENTRAL AVE N
SUBDIVISION ......: NORTHRIDGE
CITy...... .......: INDIANAPOLIS
IMPACT AREA ......:
OWNER............: DAVE DISBRO
ADDRESS ..........: 10236 CENTRAL AVE N
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46280
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY... ... ....:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE........ .
DAVE DISBRO
LIC # EBLAKE ELE
BLAKE ELECTRIC
, IN
(317) 339-6350
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT
IRESELEMTR FLAT RATE 1.00 57.50 0.00
METHOD OF PAYMENT
TOTAL PERMIT: 57.50 0.00
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
57.50
1678
57.50
OPERATOR:
COPY #
THIS REC
57.50
57.50
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CITY OF CARMEL ! CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For ELECTRICAL INSPECTiON
Permit #: 07080062
Date: 08/09/2007
PARCEL 10 #: 1713110213005000
LOT & SUBDIVISION: 276PT NORTHRIDGE
ADDRESS OF CONSTRUCTION: 10236 CENTRAL AVE N INDIANAPOLIS, IN 46280
Township?: Zoning: R1 Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: DAVE DISBRO
Ph.#: 3178441428 Fax#:
Street Address: 10236 CENTRAL AVE N INDIANAPOLIS, IN 46280
CONTRACTOR INFORMATION:
Name: BLAKE ELECTRIC
Ph. #: (317) 339-6350 Fax #: Email:
Street Address: , IN
APPLICANT INFORMATION:
First Name: DAVE Last Name: DISBRO
Ph. #: Fax #:
Street Address:
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 10236 N CENTRAL, CLOSE TO
103RD AND CENTRAL, DOING UPGRADE ON AMPS, HOME-
OWNER W/O POWER, PLEASE DO INSPECTION BY 1 :00 PM
IF POSSIBLE, DAVE - 844-1428 . NO NOTES'
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This permit is valid only if construction commences within onc (1) year of the date of issuance of the State Commercial Design Rclca~c.
All construction must be completed (C/O issued) within two (2) years of the issuance date. I
I, the undersigned, agree that any construccion, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or structures requested by this application will comply v.,'ith, and conform to, all applicable laws of the State of Indiana, and the "Zoning'
Ordinance of Cannel [ndiana -1993" (Z- 289) and amendnlC:nts, adopted under autnority of 1.c. 36~7 et 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 sewer. I I
further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of
Community Services, Carmel, Indiana. I
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DISBRO
APPLICANT NAME: DAVE
FEES:
RES ELECTRICAL/METERB.
57.50