HomeMy WebLinkAbout07110123 Receipt/PermitCITY OF CARMEL
Item 5 of 14
PERMIT RECEIPT
OPERATOR: twedding
COPY # : 2
Sec: To,p: Rng: Sub: Blk: Lot:
PARCEL ID ........: ELECTRICAL INSPECTION
DATE ISSUED.......: 11/26/2007
RECEIPT #.........: 26855
REFERENCE ID # ...: 07110123
SITE ADDRESS .....: 13921 FORU MEADOWS DR
SUBDIVISION ......
CITY .............: CARMEL
IMPACT AREA ......
OWNER ............: SRIGHTHOUSE NETWORK
ADDRESS ..........: 3030 ROOSEVELT AVE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46218
RECEIVED FROM ....: TELECOM PLACEMENT, I
CONTRACTOR .......: LIC # ETELEPLA
COMPANY TELECOM PLACEMENT, INC
ADDRESS ..........: 15405 LITTLE EAGLE CREEK AVE
CITY/STATE/ZIP ...: ZIONSVILLE, IN 46077
TELEPHONE ........: (317) 752-7758
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---- -------- ---- -- -- ----
ICIIEL•EMTR 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 #: 07110123
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 11126/2007
For: ELECTRICALhINSPECTION
^Biana- -
PARCEL ID M ELECTRICAL INSPECTION
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 13921 FORUMMEADOWS DR CARMEL, IN 4603
Township?: Zoning: 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
Street Address: 15405 LITTI
APPLICANT INFORMATION:
First Name: ADAM
Ph. #: (317) 752-7758
Street Address: 15405
PERMITTYPE: MELECTRIC
Fax #: (317) 769-4645 Email:
E EAGLE CREEK AVE ZIONSVILLE, IN 46077
Last Name: MYETICH
Fax #: (317) 769-4645
LTL EAGLE CREEK ZIONSVILLE 46077 46077
ELECTRICAL PERMIT/INSPECTION
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:
METER: 13921 FORUMMEADOWS DR. ELECTRICAL
INSPECTION METER SERVICE FOR BRIGHTHOUSE POWER
SUPPLY CABINET. MAP IN FILE. ' NO NOTES -
This permit L valid only if construction commences NNgthin one(]) year of the date of issuance of the Stare 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, enla aemeat, relocation, or alteration, of a structure, or any change in the use of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning
Ordinance of Carmel Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of
Indiana. and a1 Acts amendatory thereto. I further certify tat only kitchen, bath, and floor drains are connected to the sanitary sewer. I
further certify that the construction will not be used or occupied until a Cerrilcace ofOccapancyhas been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: ADAM MYETICH
FEES:
CII ELECTRICAL/METERB. 104.00
SCANNED