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HomeMy WebLinkAbout07110130 Receipt/PermitCITY OF CARMAL Item 10 of 14 PERMIT RECEIPT OPERATOR: twedding COPY 4 : 2 Sec: Twp: Rng: Snb:405 Blk: Lot:S PARCEL ID ........: 1711070401041000 DATE ISSUED.......: 11/25/2007 RECEIPT 4.........: 26855 REFERENCE ID # ...: 071.10130 SITE ADDRESS ..... SUBDIVISION ...... CITY ............. IMPACT AREA ....... 9885 HAVERSTICK RD LAKEWOOD GARDENS INDIANAPOLIS (r? OWNER ............: BRIGATHOUSE NETWORK ADDRESS ..........: 3030 ROOSEVELT AVE CITY/STATE/ZIP INDIANAFOLIS, 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} 752-7756 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------ --- ------------- ---------- ---------- ----- ----- ---------- ICIIELEMTR FLAT RATE 1.00 104.00 D.00 104.00 0.00 ---------- ---------- --- ------ --------- TOTAL PERMIT 104.00 0.00 104.00 0.00 5G _ CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07110130 IMPROVEMENT LOCATION PERMIT APPLICATION Date: 11126/2007 r#" s Forr ELECTRICALIIISPECTIOAI o[Pxo-. PARCEL ID #: 1714070401041000 LOT & SUBDIVISION: 5 LAKEWOOD GARDENS ADDRESS OF CONSTRUCTION: 9885 HAVERSTICK RD INDIANAPOLIS, IN 46280 Township?: Zoning: S2 Flood Zone: Lot Split: PROPERTY OWNER INFORMATION: Name: BRIGHTHOUSE NETWORK Ph. #: 317,3329077 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 NoteslConditions: 9885 HAVERSTICK RD. ELECTRICAL INSPECTION. NEW METER SERVICE FOR BRIGHTHOUSE POWER SUPPLY CABINET NEXT TO DUKE POLE #060 373. MAP IN FILE. " NO NOTES' This permit i< valid only i1 construction conunences within one (1) year of the date of issuance of the State Commercial Design Release. All construction inusr be completed (CiO issued) widen two (2) years of the issuance date, i 1, the undersigned, agree that any construction, reconstruction., enlargemenL, rcocadon, or alteration of a stmcmre, or any ehange in theuse of lard or strucrans requested by the application will comply with, and, conFo-m to, aJ1 applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana-19]3" (Z-289) and amendments, adopted under authonia of LC. 36-7 et seq, Generalassembly of the State of Indiana, and al! Acts amendatory thereto, I fuahex certify d'ar onl}• kitchen, batft, andFoor drains are connected to the sanirary server. L further certify that Lhe construction will not be used or occupied until a Certificate oFOccupancyhas been issued by the Department of Community ser•.sces, Carmel, Indiana. APPLICANT NAME: ADAM MYETICH FEES: CII ELECTRICALIMETERSr 104.00