HomeMy WebLinkAbout07110027 ApplicationMov 05 2007 2:20PM Morphey Construction, Inc 3173569253 p.1
JUL=17-2007 TUE 09:39 AN FAX NO, P. 03
??7lIoD?7
pyofCarmericray T _p
APPLICATION FOR ELECTRICAL INSPECTION
CONTRACTOR NFME J} -
P E 6w r? cnO J NONE - ax
I t4 C. (317)356- 94250 (3)7)3.66-VS3
INFORMATION: sasaAeua
fq99 N. SuEZAArr M. a:r Eme w
7AIDPLS.. 1Aj q&.201
APPLICANT
9A'.J awrxT ROW=
3i7 356 - 9aso
INPORF9ATION• Property Owner (praetor
e
(or agent) OR RwrMntat>t
TYPE of WORK: RESIDENTIAL: COMMERCIAL.
I
TY osorrnir owmi
r DFPr
eAXMa 2 ??
(317) 733 x001
?
, .
!
INFORMATION: s1AeFrwose$
3400 w. 13J 57 sr ar sago ea
kJES7rFrELb . 11J. .44074
INSP
O PWrA0W=MWW U=MM*
9DD .1J. 13674 ,S _- ow VP
?+9 EL D'J•
lI
INPOR Nt
QATE OF INSP j yl
1
?7 E OF INSPECTION: A/
O Z
4,
TYPE 00 IMPROVEMENT:
? UPGRADE SEiVIM Prom to
O UPGRADE PANEL BOAROM
! ? !OVIWG ¢ERVICE FROM OVER mu
TO UNDIIRGROUND?
0 AODIRON, ALTERATION, REMODEL, or REPAIR TO
AN E)QMW ELECTRICAL OISTRLBUION SYSTEM .
NEW METER SERVICE O e, Fountain in pond; Tw
Subc"Ion street or dgnage Wing; Instakdon d
raw utiDW saMm for an ores)- Fit
O ROW SIGNAL, SENSOR, MONITOR (Ipeef fflc ;l 4
O CONNECTION or RECONNECTION TO A RELOCATED
SIRUCTURE
O YES NO
Numb' of VIEW CIRCUITS:
Nunnberof METERS:
I CERTIFY THATTHE INFORMATION CONTAINED
ON THIS FORM PLE7E AND 9=JRAlE.
&AW
COMMENTS or FURTHER LOCATION CLARIFICATION: f Pious viduch man of InomicUan 129109n)
i
Fus. for Commercial Inspections; $ 5 for Residential Inspections