HomeMy WebLinkAbout07090070 Application? `ty 9r CARZ??
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`; City of CanneliClay Township
APPLICATION FOR ELECTRICAL INSPECTION
NAME PHONE FAX
CONTRACTOR GG'eTii[ ?/7 4 ,_ 97i r i;' 6' o mss'
INFORMATION: SCreetAcdress Cny sate Zip
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NAME CONTACT PHONE:
APPLICANT Y'7-5-
INFORMATION: Property Owner v/ Contractor
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(or agent) OR Representative
TYPE of WORK: RESIDENTIAL: COMMERCIAL:
PROPERTY OWNER NAME(S): PHONE:
PROPERTY
OWNER
INFORMATION: srREErao'ss powmennumim city State vP
/:1-77 !.w/l,Ra 5T?C?7 ?i.J>%/lieCt?
STREET ADDRESS (INSPECTION LOCATION): City State Zip
INSPECTION y (? -. /.sLn c? r L C-?: .scrL 1-??i? a? y'E?gL
INFORMATION:
DATE OF INSPECTION: TIME OF INSPECTION:
aL C- @/ILt- /?i 7/-z??JJ'y/ci
TYPE OF IMPROVEMENT:
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
? UPGRADE SERVICE: From to
O UPGRADE PANEL BOARD(S) [AFCI BREAKERS REQUIRED]
O ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
O NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services for an area)
? ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
O CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
O YES O NO
Number of NEW CIRCUITS:
Number of METERS: _ i
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS FORM IS COMPLETE AND ACCURATE.
Signature
G Lf"'T
PRINT A
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
FEES: $ 96.25 for Commercial Inspections; $ 53.50 for Residential Inspections
S:Pemts/F=ans/Electrical Application Oct 2003
Driving Directions from 1 Civic Sq, Cannel, iN to 986 E Village Dr, Carmel, N Page I of 2
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An AOL Company
1 Civic sq
Carmel, IN 46032-2584, US
Total Est. Time:
8 minutes
986 E Village Dr
Carmel, IN 46032-1273, US
Total Est. Distance:
2.46 miles
Maneuvers Distance
1: Start out going SOUTH on CIVIC SQ toward GRADLE DR. y <0.1 miles
O 2: Turn RIGHT onto GRADLE DR. 0.1 miles
3: Turn RIGHT onto 3RD AVE SW. 0.7 miles
is 4: Turn LEFT onto 2ND ST SW. <0-1 miles
5: 2ND ST SW becomes 4TH AVE SW. 0.1 miles
6: Turn LEFT onto W MAIN ST. 0.4 miles
O 7: Turn RIGHT onto N GUILFORD RD. - - - 0.3 miles
8: Turn RIGHT onto OLD MERIDIAN ST. 0.2 miles
9: Turn LEFT onto E 136TH ST. 0.4 miles
`
V
10: Turn RIGHT onto VILLAGE DR.
<0.1 miles
11: End at 986 E Village Dr
_ _ _ _ Carmel, IN 46032-1273, US_
-
Total Est. Time: 8 minutes Total Est. Distance: 2.46 miles
http:!/www.mapquest.comldirectionslmain.adp?go=1 &do=nw&rmm=1 &un=m&cl=EN&q... 9/14/2007
Driving Directions from I Civic Sq, Carmel, IN to 986 E Village Dr, Carmel, IN Paee 2 of 2
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