HomeMy WebLinkAboutBLD03-1462-SAFTY INSP WKSHEET.PDFFile with BLD. Permit Number Qua 63-14 A
Catawba County Building Services Department
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: .S
Permit Number: &D 03- Nt /-
Building Services Official: /r� ipc l2 q e
Date: A Q --1 S- 6 S
Pin Number: 449 71ZAL d9 6/4-
4.
Fire Official: (A)A/ 'MAJ
Owner / A��=r-rlxqrd-
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 Carolina
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 Carolina
Registered Architect or engineer. The building is greater than 2,500 square feet.
Signature:
Owner / Agent
Attention: The safety Inspection fee will be deducted from any additional permit
fees when accompanied by this form.