HomeMy WebLinkAboutPLM2007-00582 FAX REMOVING CONTRACTOR FROM JOB.TIF(828) 468399 Office Number Catawba County FAX [CALL ❑ WITH ISSUED PERMIT#
(828) 466 -6962 Newton Fax Number Ap'T_ d{ ?
(828) 322 -8814 Hickory Fete Number plication for Permit TO THIS NUMBER
w 9 Newt NC 28 unlv
/crease prrarar type) / V �O Box Botr 3 389 Newton, NC 28658
Type of Permit ❑ Electrical 'Plumbing ' ❑ Mechanical ❑ Fire Date ( P/a
tive )(�7
Ac Building / Mobile Hama Permit# 000 - 0005 4 Property ID # (if known) _
a # no 9of(ve Building or Mobile Home Permit please list driving directions from a major intersection:
Useotstructurwomaaaemome Oskroemmly Cmuwtawy pcommerciw pl,m,.m; nw,,y Och.0amee Ccadramee ❑AO» ,
Physical 911 Address of Project 7 qaa Ki2(S +tirij - - (c- rd,
Owner or Business Telephone
Address
Subcontractor cue. 'F V- �rN f)C-. Telephone - sl'i, f3�(
Address Pobo- A
General Contractor AenwgA PnrYTPf Telephone
Design Professional Telephone.
Reg #
C New Building W9dng
C Pole Service
L3 Additional Service (existing bldg)
C Service Change Amps_
❑ Addition of Sub Panel
❑ two Control
C saw Service
C Mobile Home
C Sign Service
C Modular Home
C Service Repair
Total # C Gas Logs Tolal # _ C Mobile Nome
C Wire Mechanical unit only (No Svc Chg)
❑ Interior Wiring (No Service Change)
C] RV Service
❑ Other (Listj
'14J Full or Partial Bath/Toilet Rooms.(Includes future.)
Total number being installed 3
C Gas Une/Pressure Tes( only
❑ Mobile home (new set -up only)
C Modular Home
C Water Healer (Electric, Gas)
C Other (List)
MECHANICAL (Check One ) C New Installation C Change out exiting system
• Heat Pump or Furnace with AtC
Total #_ C Gas Line/ Pressure Test C Other (List)
• Furnace (Oil, Gas, or Electric)
Total # C Gas Logs Tolal # _ C Mobile Nome
C1 Air Conditioner
Total #_ El Unit Healer Total #_
C Water Heater (ElectriclGas)
Total # _ ❑ Modular Home
FIRE (Check permit type applicable)
C Fire Extinguishing System
❑ Compressed Gases C Spraying & Dipping
C Fire Alamr0eweon System
C Hazardous Materials C Standpipe Systems
C Fire Pumps & Related Equipment
C Industrial Ovens C Temp. Membrane Structures
C Flammable & Combustible Liquids
C PVT Fire Hydrants ❑ Other
perils and inspecOon of work described and agrees to comply with all applicable Slate, County0a and Malin ork.
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