HomeMy WebLinkAboutBLD03-657-TEMP MECH.PDF..................... .................... ...............WC...YRTES......... ......................... ....... ...828294341.5................ ............p.:.1...........
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..................................................(.COMORCZAL ONLY) ................................................ .... ..... _.......... . ................ .................
.............. (Please.print..ai...t.Yp.)................................................................... .................. . �a.`e.........lp .. lam. p..�,� ............
Temgarary..Electr,.na.'.........._ Q't ozar�f�.t4ael:azri�a?..............................
Bun9::Permit::?....:(Z ::App�lic k�Ze):....::::.....................:::::::::...............................
Property ID No. ` C Use of Structure_
%
Physical Street Address �7` ��.J��% (City)
Owner_ 6747LWA r -9,4 P j 57- 61,11V/W11 Telephone( )
Last First
Owner ' s—Addrooc
City State
,,`, c /' // zip
St�hrnnrrart_or s Listed
in License ' Book)
D 4�RL4/�-'i•elepnone c��%y2 014 /�i / O
(As Listed in License Book) �
Subcontractor Address ��(' 8y" J�%.S �%/c,c /C/Q,eLI�►O�s Gar ldOg Z--
City State zip
State Lt7MT3Z--No. & Classification 1 % 7i?l County Account No.
General Contractor Telephone( )
_Lucatiu,i cf Structure or Yrojeat (Physical Directions, Road Numbers and Names, Etc.)
This agreement between Catawba County and ,(Owner
or Authorized agent)authorizes temporary power/temporary mechanical service to be established
on the Building for above named project for a day period.
This ac[r4rgMgat dgma mr, rnnati tilts a Vinal Tnnrnnt-i not i*M alLi1<u.l r. ., , ,'h6 , 1.— I. .5
tia�rtiMlfYfn 1.11111117 eirlil 11-11 MYR11TRIF112113 from any ILalsiliky w i- a —my
arise from this agreement.
The parties acknowledge that occupancy of a building without a Certificate of Occupancy is
a violation of local and State law and exposes the violator to criminal and civil sanction.
If occupancy occurs before Final Inspection has been completed and the Certificate of
gnmininry i ggiiPri-.-'atavha County Building ..ill -L=Yu=ksL t-he power/gas company to
disconnect the main service to the building.
The undersigned kes application for permits and inspection of wor escribed and agrees to
comply with tate, Co ty, codes and laws reguLlat;'Vnf t wor
Signature of Electrical/Mechanical Contractor Signature o Owner or Agent
Building Code Official
Sworn. to ,an,-subs09bcd^e-fore me this day o A �� .10 7� _
/!(/L Official seal
U OFF rYv �Notary Public, Gwinnett County, Georgla id.,l.a,.y eubllc:
My comet' Sion expAres My Conxnlaslon Expires Aug, 14C0006 .
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