HomeMy WebLinkAbout07100031 ApplicationOct 05 2007 8:218M Morphey Construction, Inc 3173569253 p.1
JUL-17-2007 TUE 09:39 An
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FAX NO,
P. 03
Wlk City of Camel/Clay Townsh>=p
APPLICATION FOR ELECTRICAL
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INFORMATION: 9nwtAd*m
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APPLICANT &gY $A„d 3+7 3S6-9aS0
INFORMATION: property owner
(or age) Contrwtor
OR Rep:esm:lzbve
COMMERCIAL; ?
TM of WORM RESIDENTIAL:
PROPERTY PwRxrr ovn? wus?}:
CARMEL S-Mal- DEPT w?oNe:
(317) 733 - 2001
OWNER M: .
tIRM A" CRY r4
INFORMATION 1 ,
310o w. r31 5'r ST WEVFOeIL vJ. 4(.o-74
SKCTION E" 13('?N ST £ $T°?E C41eNEL
MATIONi
IN
DATE OF INSPECTION:
TIME pF INSPECTION:
TYPE OF IMPROVEMENT.
MOvIMG bcKvz%x rrovw wvc.an?
TO UNDERGROUND?
0 UPGRADE SERVICE: Ftnm to
O UPGRADE PANEL BOARD(S)
O ADDITION, ALTERATION, REM DEL, or REPAIR TO
AN EQSANG ELECTRICAL DISTRIBUION SYSTEM
NEW METER SERVICE (I e. Fountaln In pond,
SUWMslon sheet or sgnage lighting; Installation of
new utLRy servkms for an area)
O YES K NO
Number of NEW CIRCIKM
Number of METERS:
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS PORtl,I$ CQMPLETC D ACCURATE.
O ROW SIGNAL, SENSOR, MONITOR (i.e. TraITIC Ught)
COSY l.OSY LAW lo-Y-0),
O CONNECTION or RECONNECTION TO A RELOCATED PAU+r . oAn
STRUCTURE
COMMENTS or FURTHER LOCATION CLARIVICATIONI
FEES-, $104.00 for Commercial Inspections; $ 57.50 for Residentlal Inspections
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SCANNED