HomeMy WebLinkAbout07100059 ApplicationOct 09 2007 9:10AM Morphe9 Construction, Inc 3173569253 p.1
JUL-17-2007 TUE 09:39 AM
FAX NO,
P, 03
City of Carmel/Clay Township 0`7 1000)5?
APPLICATION FOR ELECTRICAL INSPECTION
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CONTRACTOR NAME
P EY &srf? cTioj! Kwe FAX
JUC. (3J7)39&-9.25'Z> (317)356-920
INFORMATION: saeaam orv M :b
1y99 N. SNEZ,4A?+ Dz. '?WbPCs. 71.1. y6.201
NAM GN,TACt Pe10NF:
APPUCANT ecgY P,Ami 317 396 - 4aS0
INFORMATION: Property Owner Contractor
(or agent) OR Representative
TYPE Of WORIM RESIDENTIAL: COMMERCIAL: ,_?
wwvem owNai Naegsk PNOree
PROPERTY CAKP4EL STmr Derr (317) 733 - -1001
.
OWNER
INFORMATION: s1letTmaeess:
3y0D W. 13157 ST. as em ao
WesrFiELS. Tom. q(oO74
meet,D 1M cDGFWnW U=TWW ow :b
INSPECTION 6FA4 A,J Sr. IANEL
INFORMATIONI DATE OF IFISPC{TION: TIME OF INSPECRON:. ?--
TYPE OF INPRbV FEN f' MOVING SERvam FROM ave"EA5
TO UNDERGROUND?
O L MADE SERVICE: From to
O UPGRADE PANEL SDARD(S)
D ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN BWMNG ELECTRICAL DIS RIIILUON SYSTEM
NEW METER SERVICE 0.e. Fountaln In pond;
SuWh alon street or elgnage lighting; Installation of
new ut16W serwow for an area)
O ROW SIGNAL, SENSOR, MONITOR (l e. TrafAc Ught)
O CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
D YES K NO
Number of NEW CIRCUITS:
Number of METERS:
I CERTIFY THAT THE INFORMATION CONTAINED
ON THIS 7UPLETE AND ACCURATE.
s nkum w -
ilpgy $AW /d - 9 - 07
Ppa? MATE
COMMENTS or FURTHER LOCATION CLARIFICATION: (please attach man of in an )?
1-x.2, 1,?/a i ve ? - ? .i -fV T )?1 r P (:'r
FEES $ 104.00 for mmerdai Inspections; $ 57.50 for P-Midentlal Inspections
SCAN N ED