HomeMy WebLinkAboutBLD03-1676-SAFTY INSP.PDFFile with BLD. Permit Number &P p3 ( bl (o-
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: t[`l. DJEr&-,t-- Date: b l7 03
Pin Number: o7 D 0 3/ 0/ 51 6 0i� 0 9- 04-6
Building Services Official: m/�C�c A e, L , QC) F/ �-- J
Fire Official 541 D r nw"
Owner/Agent: Woec/�7— 64 685
❑ Plans are required for this project but are exempt from being signed and sealed by a North Carolina
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 Carolina
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: (Requests for additional inspections will not be
honored until all required permits have been obtained.)
❑ 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:
6z an .-
Owner / Agent