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HomeMy WebLinkAbout07110128 Receipt/PermitCITY OF CARMEL Item 9 of 14 PERMIT RECEIPT OPERATOR: n wedding COPY # :,2 Sec: Twp:17 Rnc:04 Sub:001 B1k:04 Lct:63 PARCEL ID ........: 1614040303042000 DATE ISSUED.......: 11/26/2007 RECEIPT #.........: 26255 REFERENCE ID # ..•: 07110128 SITE ADDRESS .....: 11068 ST CHARLES PLC SUBDIVISION ......: KINGSWOOD CITY CARMEL IMPACT AREA ...... OWNER ............: BRIGHTHOUSE NETWORK ADDRESS ..........: 3030 ROOSEVELT AVE CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46216 RECEIVED FROM ....: TELECOM PLACEMENT, I CONTRACTOR .......: LIC 4 ETELEPLA COMPANY ..........: TELECOM PLACEMENT, INC ADDRESS ..........: 15405 LITTLE EAGLE CREEK AVE CITY/STATE/ZIP ...: ZIONSVILLE, IN 46077 TELEPHONE ........: (317) 752-1758 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ----- --------- ---------- ---------- ---------- ICIIELEMTR FLAT RATE 1.00 104.00 0.00 104.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 104.00 0.00 104.00 0.00 i w. J J "' CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07110128 1 IMPROVEMENT LOCATION PERMIT APPLICATION Date: 11126/2007 a >• For ELECTRICAL INSPFCTION '-IHOITX>-- PARCEL ID #: 1614040303042000 LOT & SUBDIVISION: 63 KINGSWOOD ADDRESS OF CONSTRUCTION: 11088 ST CHARLES PLC CARMEL, IN 46032 Township?: 17 Zoning: S2 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 PERM IT/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: 11086 ST CHARLES PLC. ELECTRICAL INSPECTION. NEW METER SERVICE FOR BRIGHTHOUSE POWER SUPPLY CABINET. NIAP 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 (CIO issued) within two (2) years of the issuance date. I, the undersigned, agree that any construction, reconstruction. enlargement.. relocation, or alteration of a structure. or any change in the use of land or structures requested by this application willcomply witF and conform to, all applicable Laws of the Stare of Indiana, and the "Zoning Ordinance o' Carmel Indiana -1993" (7-239) end amendments, adopted under authority of I.C. 36-7 ct seq, General Assembly of the State of Indiana, and if Acts amendatory thereto I further cerni j that only kitchen, teach, and floor drains are connected to the sanitary sewer. I further certify that the construction %vill not be used or occupied until a Certificate ofOccapancy has been issued by the Department of Community Services, Carmel, Indiana. APPLICANT NAME: ADAM MYETICH FEES: CII ELECTRICAL/METERB. 104.00 S? l ?r I- C- G..I}t