HomeMy WebLinkAbout07080186 Application5 C4
.City of Cannel/Clay Township
01, w_ APPLICATION FOR ELECTRICAL INSPECTION
\'NOIANAi
NAME PHONE FAX
CONTRACTOR AF1 r7- u'?TrG r? A94'75- 3r7 ?'6a-?r ??
INFORMATION; street Address city Sete vR
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NAME CONTACT PHONE:
:APPLICANT : r7 1 va-97s
INFORMATION: Property Owner Contractor
(or agent) OR Representative
TYPE of WORK:- RESIDENTIAL: COMMERCIAL: -
PROPERTY OWNER.NAMEIS): PHONE: {
PROPERTY
OWNER
INFORMATION: 57.=ADDRESS: CAY state zip
a 77C<// .V 5Tr?*T
STREET ADORESS(INSPECT?ON LOCATION): CKY state zip
INSPECTION f L Tr i rf? a s; 3
INFORMATION:
DATE OF INSPECTION: TIME OF INSPECTION:
p ?v s4,v T.,
TYPE OF'IMPROVEMENT:
? UPGRADE SERVICE: From to
? UPGRADE PANEL BOARD(S)
ADDITION, ALTERATION; REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
O NEW METER SERVICE (I.e; Foubtain in pond.
Subdivision-street or' signage lighting; Installation of
new utility services for an area)
G ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
Q CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
Q YES ? NO
Number of NEW CIRCUITS:
Number of METERS: I
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.
signature ?
PRINT -ATE.
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
FEES: $ W.do for Commercial Inspections; $ 57:50 for Residential -Inspections
I:PermRsji` m5/eleCAC2e Appllc dor Apo 2007
?Dfi%ing Directions from 1 Civic Sq, Carmel, IN to 4423 E 116th St, Carmel, IN
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entire map, try clicking the "Printer-Friendly" link at the top of your results page.
AA A
V E
Ar-AOL C. :my
1 Civic Sci
Carmel, IN 46032-2584, US
Total Est. Time:
8 minutes
4423 E 116th St
Carmel, IN 46033-3355, US
Total Est. Distance:
2.65 miles
Maneuvers
1: Start out going EAST on CIVIC SQ toward GRADLE DR.
2: Turn LEFT onto GRADLE DR.
3: Turn RIGHT onto S RANGE LINE RD.
4:
O Turn LEFT onto E 116TH ST.
5: End at 4423 E 116th St
Carmel, IN 46033-3355, US
Total Est. Time: 8 minutes Total Est. Distance: 2.65 miles
Distance
<0.1 miles
<0.1 miles
0.6 miles
1.8 miles
Page 1 of 2
http:,/www.inapquest.com/directions/main.adp?go=1&do=nw&rmm=1 &un=m&c1=EN&qq... 7/5/2007
Driving Directions from 1 Civic Sq, Carmel, IN to 4423 E 116th St, Carmel, IN Page 2 of-')
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entire map, try clicking the "Printer-Friendly" link at the top of your results page.
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These directions are informational only. No representation is made or warranty given as to their content, road conditions or
route u=sability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no responsibility for any
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http://ww,w.mapquest.comidirections.%main.adp?go=l &do=nw&rmm=1 &un=m&c1=EN&qq... 7115/2007