HomeMy WebLinkAbout08010037 ApplicationJAN-111.2008 16: 55 3179741238
FAQ
1? City of Camel/Clay TOWN&Wp ?-
"/' APPLICATION FOR ELETMCAL INSPECTION
NAME
COWMAGTOR l v " v "
INFORMATION: w"'AdOw
1^ j f
Not
?
APRIjCANT ToVv rho k?x
THFOm"noN: PnpbI'ty Owner
(or ago*) OR
TYPE of WORKI I RESIDENTIAL..
PROPERTY X
OWNER 6r0jrAee11ES5:
INPORMATION1 Llt? ?.
"l
VUET ADMM 001MON UXATIOM ;
P.02
"ONE VAX
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A
e cr PMOR L
mr
pOMMGRaAL
PMDf? y i
Or
INpORMA"ROM: DATE CF INpKRONI: W9
I ?I
TYPE OF IMPROVEMENT:
O l1PGRADE SERVICE, From _ =r u
O UPGRAM PANE. KWtD(S) ` - - - -
=N, ALTERATION, REMOD& or REPAIR TO
AN DQSTING ELECTRICAL DIMMION SYSTEM
0'2- NEW MMIk SERVICE (i.e. Fountain in pond, I
p Subd lion it or signage NgWng; Inst kdon of Of
?dl arrvk?es liar an area)
? ?o ROW SIGNAL„ SENSOR, MOIMR (I. AL Trvffic 1-10k)
o CONNECTION or RECONNECTION Ta A R&=TED
STRUCTURE
COMMSNTS or MUM LOGTWN CwuFMATWN: ?
$ 104.00 for
TIME OF INSPECTION:
v!G SMVICi FROM OWRHW
TO UNDER+ MUMU'r ;
O YSi O No ;
Number at NVN Cri LWV. 4.
Number of 04MRS: .
r. .
![IfY TWIT TKE INFORMATION CONTAINED {
iS FARM IS COMPLETE AND ACIIRATE.
$ 57.501br.RwsidWWild
TOTAL P.02
t
JAN-11-20M 16:55
3179741238
mega wristructlon -corporator;
333 n. Pennsylvania Street, le- floor
ind anapolis, IN 46204
[317] 974-1234 otflce
[317] 474-1236 facimile
wrm.buddngham-cu.mm
r
fib. IN ..
Comments;
617-
c-c
f?
Respectfully Submtted,
Metro Const nxbon COI por4 m
cc:
N:lmetro consti etjontstandard fvrrns,MCC template fxsimille.doc page 1 of 1
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