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HomeMy WebLinkAbout07110122 Receipt/PermitCITY OF CARMEL Item 4 of 14 PERMIT RECEIPT OPERATOR twedding COPY A : 2 Sec: Twp: Rng: Sub:A57 Slk: Lot:8 PARCEL ID ........: 1510270011008000 DATE ISSUED.......: 11/25/2007 RECEIPT 4.........: 26855 REFERENCE ID 4 ...: 07110122 SITE ADDRESS ...... 13907 FERNLEAF WAY SUBDIVISION ......: COUNTRY MEADOWS AT HAVERSTICK CITY .............: CARMC L IMPACT AREA ......: OWNER ............: DRIGHTHOUSE NETWORK ADDRESS ....--....: 3030 ROOSEVELT AVE CITY/STATE/ZIP ...: INDIAPSAPOLIS, IN 4 5218 RECEIVED FROM ..... TELECOM PLACEMENT, I CONTRACTOR .__.._._ LIC # ETELEPLP- COMPANY ..........: TELECOM PLACEMENT, INC ADDRESS ..........: 15405 LITTLE EAGLE CREEK AVE CITY/STATE/ZIP :..: ZIONSVILLE, IN 460 77 TELEPHONE ........: (317) 752-7758 FEE ID UNTT QUANTITY AMOUNT PD-TO- ----- DT --- - THIS REC NEW PAL --------- ---------- ---------- ------------- ---------- ICIIELTMTR FLAT RATE 1.00 -- -------- -- 104.00 0 .00 - 104.00 0.00 --------- ---------- TOTAL PERMIT ---------- ------- 104.00 0 --- .00 104.00 0.00 SCANNED CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07110122 IMPROVEMENT LOCATION PERMIT APPLICATION Date: 11/26/2007 uy - For, ELECTRICALI'v?PECTION PARCEL ID #: 1610270011008000 LOT & SUBDIVISION: 8 COUNTRY MEADOWS AT HAVERSTICK ADDRESS OF CONSTRUCTION: 13907 FERNLEAF WAY CARMEL, IN 46033 Township?: Zoning: S1 Flood Zone: Lot Split: PROPERTY OWNER INFORMATION: Name: BRIGHTHOUSE NETWORK Ph. #: 3176329077 Fax #: Street Address: 3030 ROOSEVELT AVE INDIANAPOLIS, IN 46218 CONTRACTOR INFORMATION: Name: TELECOM PLACEMENT, INC Ph. #: (317) 752-7758 Fax #: (317) 769-4645 Email: Street Address: 15405 LITTLE EAGLE CREEK AVE ZIONSVILLE, IN 46077 APPLICANT INFORMATION: First Name: ADAM Last Name: MYETICH Ph. #: (317) 752-7758 Fax #: (317) 769-4645 Street Address: 15405 LTL EAGLE CREEK ZIONSVILLE 46077 46077 PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMITIINSPECTION Residential or Commercial: COM Service Upgrade: Current Amperage: Upgrade Amperage: Panel Board Upgrade: New Meter Service: Y Row Signal: Number of New Circuits: Number of New Meters: 1 Relocated Structure Connection: Moving Service (Overhead to Underground): N Alteration, Addition, Remodel, or Repair to Existing Distribution System: Special Notes/Conditions: 13907 FERNLEAF WAY. ELECTRICAL INSPECTION. NEW METER SERVICE FOR BRIGHTHOUSE POWER SUPPLY CABINET NEXT TO DUKE TRANS 94 B 13. MAP IN FILE. ' NO NOTES' This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All construction must be completed (C/O issued) within two (2) years of the issuance date. 1, the undersigned, agree that any construction, reconstruction, calargement, relocarior, or alteration of a structure, or any change in rheusc of land or srrucrmes requested by this application wi11 comply siith, and conform to, all applicable Laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-2S9) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the Stare of Indiana, and all Acts amendatory thereto. I further certify chat only ldtcher_, barh, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate ofOccupancyhas been issued by the Department of Community Services, Carmel, Indiana. APPLICANT NAME: ADAM FEES: CII ELECTRICALIMETERB. MYETICH 104.00 SCANNED