HomeMy WebLinkAboutBBLD2003-01774 TEMP MECHANICAL.PDF(828)465-8399 Office Number
(828)465-8962 Fax Number
CATAWBA COUNTY APPLICATION FOR PERMIT
(COMMERCIAL ONLY)
(Please print or type)
Temporary Electrical
uilding Permit No.(If
3
P.O. Box 3
Newton, NC 286
fiat
—Temporary mechanical
Property ID I'll No Use of Structure
X'Physical Street Address 0 J /4 -Y (C. Z,
0 wn e r ez� T e I e phon e
Last First
X, Owner's Address 7,J
city State Zi
% Subcontractor bwolh-elz�V],, Telephone
(As Listed in License Bo6k)
6 1, / � ve C Subcontractor Address 1 0 -
City/ State Zi
State License No. & Classification County Account No,
;'\General Contractor e�,40Qf,-, Telephone V( a' L-1 �J�
—Location of Structure or Project (Physical Directions, Road Numbers and Names, Etc'.
y 7 a L,1 8.4 k, �4
This agreement between Catawba County and '(0
or Authorized agent)authorizes temporary power/tem rary mechanical service to be establi
on the Building for above named project for a �_C� day period.
This agreement does not constitute a Final Inspection for Electrical Power/Mechan
Service, We further release Catawba County and its employees from any liability which
se from this agreement.
The parties acknowledge that occupancy of a building without a Certificate of Occupanc°
a violation of local and State law and exposes the violator to criminal and civil sanct
If occupancy occurs before Final Inspection has been completed and the Certificate
Occupancy issued, Catawba County Building inspection will request the power/gas compare
disconnect the main service to the building, 11 1
The undersigned makes application for permits and inspection, of,,,,1)6ork described and agree;
com ly ith all State, o codes and laws regulati'4.1l,"'thek.
X Z'
Z
Si M�echanical Contractor Stur 'of 0 r or Agent
W�3
to. ...... ... .
Building Code Official
Sworn to and subscribed before'4 this day of
Official Seal ef
Signature of Notary Notary Public
My commission expires_k4�1�) f 20 6 (v
**This form must be notarized it signed out of office. 00 a m4
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