HomeMy WebLinkAbout07090071 ApplicationCity of Carmel/Clay Township
APPLICATION FOR ELECTRICAL INSPECTION
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NAME PHONE FAX
CONTRACTOR G - r L 1 A6 5 4/ 31 7 s`
INFORMATION: Street Address City State zip
NAME CONi ACT PHONE:
APPLICANT , L
INFORMATION: Property Owner Contractor
(or agent) OR Representative G ^ ?
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TYPE of WORK: RESIDENTIAL: /
COMMERCIAL: !-
PROPERTY OWNER NAME(S): PHONE:
PROPERTY
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OWNER
INFORMATION: STREETADORESS city state ?p
/,.277 Gtr. A6Z STr r i> ' G6, 5
STREET ADDRESS (INSPECTION LOCATION): CY.y State zip
INSPECTION ?LSd z ! sL ??n.?
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INFORMATION:
DATE OF INSPECTION: TIME OF INSPECTION:
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TYPE OF IMPROVEMENT:
? UPGRADE SERVICE: From to
? UPGRADE PANEL BOARD(S)[AFCIBREAKERS REQUIRED]
? ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
? 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)
Q CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
MOVING SERVICE FROM OVERHEAD
TO UNDERGROUND?
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
PRINT TDAT?
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach mat) of inspection location)
FEES: $ 96.25 for Commercial Inspections; $ 53.50 for Residential Inspections
s:Pen-niLS/FOrrt.S(ElectricEI Appk2tion Oct 2003
Driving Directiorrs fromI Civic Sq, Carmel, IN to 11542 Shelbome Rd, Carmel, IN Page 1 of 2
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entire map, try clicking the "Printer-Friendly" link at the top of your results page.
A a AOL Corivarq
1 Civic Sq
Carmel, IN 46032-2584, US
Total Est. Time:
14 minutes
11542 Shelborne Rd
Carmel, IN 46032-9528, US
Total Est. Distance:
5.96 miles
Maneuvers Distance
1: Start out going EAST on CIVIC SQ toward GRADLE DR. <0.1 miles
2: Turn LEFT onto GRADLE DR. <0.1 miles
3: Turn RIGHT onto S RANGE LINE RD. 0.6 miles
4: Turn RIGHT onto E 116TH ST. 3.0 miles
5: Enter next roundabout and take 1st exit onto W 116TH ST. 2.0 miles
t
6: Turn LEFT onto SHELBORNE RD.
<0.1 miles
- 7: End at 11542 Shelborne Rd -' - " i
Carmel, IN 46032-9528, US
Total Est. Time: 14 minutes Total Est. Distance: 5.96 miles
http://www-mapquest.com/directions/main.adp?go=1&do=nw&rmm=1 &lgi=0&un=m&1... 8/30/2007
Driving Directions from-1 Civic Sq, Carmel, IN' to 11542 Shelborne Rd; Carmel, IN Page 2 of 2
:c-y- SorrY- ! When printing directly from the browser our map may be incorrectly cropped, Y P Y y pped. To print the
entire map, try clicking the "Printer-Friendly" link at the top of your results page.
MAPOUEST.= ^a ?'.Y 0' 2007 lnc "1I Iv"
1? ?"'• ®2007NnVTEO "
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route usability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no responsibility for any
loss or delay resulting from such use,
http://wNPw.mapquest.com/directionsimain.adp?go=1 &do=nw&rmm=1 & 1 gi=0&un=m& 1... 8/30/2007