HomeMy WebLinkAboutB3-1522 SAFETY INSP WKST.PDFFile with BLD. Permit Number -�ov:3 _ %5-zj.
Catawba County Building Services Department
PO Box 389
Newton, NC 28658
Newton Telephone # 828-466-5125
Newton Fax # 828-465-8375
Hickory Telephone # 828-323-7410
Hickory Fax # 828-323-7474
Safety Inspection Worksheet
Project Name: F Q2 i f ,-4-5.4MAjS Date
Pin Number: 37 31 / (� `f 5 6 3 /
Building Services Official: /'��� C-%UGi 4-:�-
Fire Official: C I V V G AlC i,,j
Owner / Agent:
y- 3n-a3
❑ Plans are required for this project but are exempt from being signed and sealed by a North Carolin,
Registered Architect or engineer. The entire 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 Caroling
Registered Architect or engineer. The entire building is greater than 2,500 square feet.
❑ Plans are not required for this project.
❑ No additional permits are required for this project, work may proceed under Safety Permit #
❑ The following additional permits are required as follows:
❑ Building
❑ Electrical
❑ Plumbing
❑ Mechanical
❑ Refrigeration
❑ Fire Alarm (If in Hickory Regional Planning Area see Hickory Fire Prevention Bureau.)
❑ Sprinkler (If in Hickory Regional Planning Area see Hickory Fire Prevention Bureau.)
Attention: Additional permits fees may be reduced when this form accompanies
permit applications.
Signature: V(tm
Owner / ent