HomeMy WebLinkAbout07090072 ApplicationOF CA
ate. 1 City of Carmel/Clay Township
APPLICATION FOR ELECTRICAL INSPECTION
"!NDIAN? ??f??VV / L
NAME PHONE FAX
CONTRACTOR - iG / 73 a-
INFORMATION: ScreetAddress
cry State
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NAME CONTACT PHONE:
APPLICANT .L trT r/Y1 411 G? 975-41
INFORMATION: Property Owner Contractor
G' .a/n_
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"`emu
(or agent) OR Representative
TYPE of WORK: RESIDENTIAL: COMMERCIAL:
PROPERTY OWNER NAME(S): PHONE:
PROPERTY
OWNER
STREET EETAn°RESS city sloe Bp
1r'71 GU/dGL 57?et Y /GG2?i?•N4/J/G/1 ?v?r
STREET ADDRESS (INSPECTION LOCATION): Clt/ State Up
INSPECTION J Aiix
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a-
INFORMATION:
DATE OF INSPECTION: TIME OF INSPECTION:
L u G G 114-
TYPE OF IMPROVEMENT:
? UPGRADE SERVICE: From to
? UPGRADE PANEL BOARD(S) [AFCI BREAKERS REQUIRED]
? 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
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 p
PRINT OAT'
COMMENTS or FURTHER LOCATION CLARIFICATION: (Please attach map of inspection location)
FEES: $ 96.25 for Commercial Inspections; $ 53.50 for Residential Inspections
S: P=ermits/Forms/Electri W l Application Oct 2003
Dri'Ving Directions from 1 Civic Sq, Carmel, IN to 13150 Springmill Rd, Carmel, PN Page 1 of 2
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Of, 79!
An AOL CoMpany
1 Civic Sq
Carmel, IN 46032-2584, US
Total Est, Time:
8 minutes
13150 Springmilt Rd
Carmel, IN 46032, US
Total Est. Distance:
2.77 miles
Maneuvers
1: Start out going WEST on CIVIC SQ toward GRADLE DR.
2: Turn RIGHT onto CRADLE DR.
3: Turn LEFT onto 3RD AVE SW.
..........._-----------..............._...
4: Turn RIGHT onto W CARMEL DR.
_ 5: Turn LEFT onto W 131ST ST_ W
A 6: Turn RIGHT onto SPRING MILL RD.
7: End at 13150 Springmill Rd
Carmel, IN 46032, US
Total Est. Time., 8 minutes Total Est. Distance: 2.77 miles
Distance
<0.1 miles
0.1 miles
0.2 miles
2.1 miles
0 1 miles
<0.1 miles
http:/hvwtiv.mapquest.com/directionslmain.adp?go-t&do-1w&=m l&un=m&lrc=L1A... 830/2007
Driving Directions from 1 Civic Sq, Carmel, fN to 13150 Springmill Rd, Carmel, M Page 2 of 2
+`# Sorry! When printing directly from the browser your map may be incorrectly cropped. To print the
L entire map, try clicking the "Printer-Friendly" link at the top of your results page.
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route usability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no responsibility for any
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http:/,iNi,<%,kv.mapquest.com/directions./main.adp?go=1&do=nw&rmm=1 &un=m&lrc=L 1 A... 830/2007