HomeMy WebLinkAboutBLD03-1290 SAFETY WORKSHEET.PDFFile with BLD. Permit Number &D �063 — D/,
Catawba County Building Services Departmel
PO Box 389
Newton, NC 28658
Newton Telephone # 828-466-5125
Newton Fax # 828-465-8375
Hickory Telephone # 828-323-7497
Hickory Fax # 828-322-6814
Safety Inspection Worksheet
Project Name: ��— u. C'^- - Date: d 8-
Permit NumberAP /.2-90 Pin Number: 3
Building Services Official: i�
r
Fire Official
Owner / Agent:
M/No additional permits are required for this project
❑ Additional permits are required as follows:
❑
Building
❑
Electrical
❑
Plumbing
❑
Mechanical
❑
Refrigeration
❑
Fire Alarm
Plans are not required for this project.
❑ Plans are required for this project but are exempt from being signed and sealed by a North Caro
Registered Architect or engineer. The building is less than 2,500 square feet.
❑ Plans are required for this project and are not exempt from being signed and sealed by a North Caro
Registered Architect or engineer. The building is greater than 2,500 square feet.
Signature. 6
Owner / Pgent
Attention: The safety Inspection fee will be deducted from any additional per[
fees when accompanied by this form.