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Home My WebLink AboutB3-1793 TEMP ELEC & HEAT APPLS.PDF8283237474 Feb 18 Cl4 08:47a Cit�j of Hickorb (828)465-8399 office Number (828)465-8962 Fax Number CATAWBX COUNTY APPLICATION FOR PERMIT P. I P.O. Box 389 Newton, NC 28658 (COMMERCIAL ONLY) Date—,, (?lease print or type) ____ZTemp0rarY Electrical —Temporary Mechanical Building permit No.(If Applicable) Use of Structure-15-05,1_49-ss- Property ID No, pilysical Street Address-JO-Z 3 ownera-_..___-- ----------------------- Last First Owner's Address x52,/ City STaAt�e _I�) Subcontractor_ Telephone_( JI�L subcontractor Address_Zk_5_V/_,J City State zip b78 State License No & Classificatio", Account No-- F_zeneral Contractor Etc�) Location of Structure car project (Physical Directions, Road Numbers arid Natlies., J-2- _i4PP-A (Owner N \J This agreement between Catawba County and or Authorized agent)authorizes temporary power/temporary mechanical service to be established on the Building for above named project for a _ day period. This agreement does not consi--itute a Final Inspection for Electrical mower/Mechanical Service. We farther release Catawba county and its employees from any liability which may arise from this agreement. The parties acknowledge that occupancy of a building without a Certificate of occupancy is a violation of local and State law and exposes the violator to criminal and civil sanction, If occupancy occurs before Final Inspeotion has been completed and the Certificate of occupancy issued, Catawba County Building inspection will request the power/gas company to disconnect the main service to the building. The undersigned makes application for permits and inspection of work described and agrees to comply with all State, County, codes and laws regulating work. IN, 0, ent Signature of owner Signaturectrical/Mechanical Contractor 5 r 00 c. Building Code official �r` day of Sworn to and subscribed befor e we this 0 official Seal ao N Signature of Notary I` Notary Public My Commission expires tl_ 2 O_L_t **This form must be notarized if signed out of office. Feb 18 04 08:47a city of (828)469-8399 OffiC6 Number (828)465-8962 Fax Number Nick or j CDC 4 P. I P.0, Box 389 Newton, ITC 28658 CATAWBA COUNTY APPLICATION FOR PERMIT (COMMERCIAL ONLY) Z!� (Please print artype) Temporary Electrical Temporary MDate— / echanical permit Co � (if Applicable) Property 1D No Use of structure_3_451649F�� Physical Street Address 2_W3_e_____,/_,a� Telephone (7'VV)_3j�!!5 Owner—,-,,- mu Last First Owner's Addressjp riz City State Zip subcontractor (As Listed in License Book) Nz't Subcontractor City State Zip State License No & Classification � 6("" Conzty Account No, -- General Contractor j7p Telephone_�(),6_5_1��4t;�� —7 1 tA V_ _Location of Structure or Project (Physical Directions, Road Numbers and Names, Etc,) -- This agreement between Catawba County or Authorized agent authorizes temporary power/temporary mechanical service to be established on the auilding for above named project for a day period. This agreement does not constitute a Final Inspection for Electrical Power/Mechanical Service, we further releaae Catawba County and its employees from any liability which may arise from this agreement. The parties acknowledge that occupancy of a building without a Certificate of occupancy is a violation of local and State law and exposes the violator to criminal and civil sanction, If occupancy occurs before Final Inspection has been completed and the Certificate of Occupancy issued, Catawba County Building inspection will request the power/gas company to disconnect the main service to the building, The undersigned makes application for permits and inspection of work described and agrees to comply w'-h all State, County, codes and laws regulating work, i nat 're lectrical/Mechanical ContractoSignature of Owner or er nt Building Code Official Sworn to and subscribed beforo mie this _Lt day of z.._�_ ��m 1Official Sea z Signature of Notary Notary Publi My Commission **This form must be notarized if -signed out of office. 4 N 1. - 1 Feb 18 04 00:47a Cit. or Hickorp 8283237474 P.1 Fm V + It (828)465-8399 office Number P.O. Box 389 (828)465-8962 Fax Number Newton, LTC 28658 CATAWBA COUWTY APPLICATION OR PERMIT (CoxmERCIAL ONLY) Date—Z �0.0, (Please print or type), Temporary Electrical Temporary Mechanical _ZV0_3,n0 1_1,3__Building permit No, (If Applicable) 7 Property ID No, Use of Structure _B_9_$1_4Z9.S1S_ Physical Street TelephoneL7 Last First Owner's Addreos_�5,u 4 2? City Sate IEip subcontractor__B? nto )F cr. Zo2, c (As Listed in License Book) Subcontractor Addressj_t�_ city State zip State License No Classif Account 1\r0,_ General Contractor]r7J5LJ6t ___Telephone(7gy).�.5 Location of Structure Or Project (Physical Directions, Poad Numbers and Names, Etc.)--- er Thi agreement between Catawba Col.Lnty and service to be established or Authorized agent)authorizes temporary power/temporary mechanical on the Building for above named project for a — day period. This agreement does not constitute a Final inspection for Electrical Power/Mechani al Service, we further release cat_-awba County and its employees from any liability which may arise from this agreement. The parties acknowledge that occupancy of a building without a Certificate of occupancy is a violation of local and State law and exposes the violator to criminal and civil sanction. If occupancy occurs before Final inspection has been, completed and the Certificate of occupancy issued, Catawba County Building Inspection will request the power/gas company to disconnect the main service to the building. The undersigned makes application for permits and inspectionoafwork described and agrees to comply with all State, County, codes and laws regulating work. r Signature of wner or ant =Bung a e Official Sworn to and subscribed before me this 'day of --It'' e official Seal S - ignature of Notary Notary Public r 2 0 Fly commission expires Zl_�,. _& 1It **This form must be notarized if signed on'-, of office. I : .WT Feb 18 04 08:47a Cit� or Hickor8283237474 P.1 (828)465-8399 office Number q P.O. Box 389 (82C465-8962 Fax Number Newton, NO 28658 CATAWBX COU=Y APPLICATION FOR PERMIT (COMMERCIAL ONLY) 2. (Please print or type) bate ,,----Temporary Electrical Temporary Mechanical pertnit No, (If Applicable) Property ID Use of .Structure _ffy_&_A6� Physical street Address-i Owner Telephone (719V) uol -Z)9Z0 Last First owner's Address 6 2J 4 r- city �s a �re 2zp Subcontractor-J& �t2 lc�_r Telephone (ZSf) (As Listed in License Book) I Subcontractor Address_7LZ—A City State Zip State License No. & Class i ficat County Account NTO General Contractor _M$:ngyC Telephonet7p I.ocation of Structure or Project (Physical Directions, Road Numbers aria Names, Etc.)-- ��'? is agreement between Catawba County and I-_ rz4er A,,or oL& (Owner or Authorized agent)authorizes temporary power/temporary mechanical service to be established on the Building for above named project for a day period. This agreement does not constitute a Final _Ir_lspecticn for Electrical Power /Mechan 1' ral Service. We further release Catawba County and its employees from any liability which may arise from this agreement, The parties acknowledge that occripancy of a building without a Certificate of Occupancy is a violation of local and State law and exposes the violator to criminal and civil sanction. If occupancy occurs before Final Inspection has been completed and the Certificate of occupancy issued, Catawba County Building Inspection will request the power/gas company to disconnect the main service to the building, The undersigned makes application for permits and inspectionlof work described and agrees to comply tate, County, codes and laws regulating work, S'g atu- Electrical/Mechanical Contractor Signature of Owner or ant Building Code Off cia cLv--, d Sworn o d m tansubscribed before e this 11,4 ay of � �144e6 Official Seal Signature of Notary Notary Public My Commission 20 Cam^ - 0UB\YC1 **This form must be notarized if signed our of office, Feb 18 04 08:47a City of (828)465-8399 Office Number (828)465-8962 Fax Number RMINIONCM P.0, Box 389 Newton, PC 28656 (COMMERCIAL ONLY) I r (Please print or type) Date Temporary Electrical —Temporary Mechanical 11,3Building Permit No, (if Applicable) Property ID Use of Structure -119151—AZ9,;ss— Physical Street Address LQ-q—Q-----4�v�f d hG� owner_A Telephone (7wl'1)14?�5 -C9ZP , xg Last First Owner's Address City Sate � Zip subcontract ;:_�j ___Telephone(76Y) C, (As Listed in License Boo,) Subcontractor lVo :s� AtC, City State Zip Z60 State License No, & Class i ficatiorl-zz-s �County AnN ccouc o, ,-5 a U General Contractorj�7nw _Telephor.el7c Location of Structure or Project (Physical Directions, Road Nuirbers and Names, Etc,) 4#0,x . , " A 40 4:7 4/111, tv&l 1 This agreement between Catawba County (0,,,nier or Authorized agent)authorizes temporary power/temporary mechanical service to be established on the auilding for above named project for a — day period. This agreement does not constitute a Final Inspection for Electrical Power/Mechanical. Service, We further release Catawba County and its eriployees from any liability which may arise from this agreement, The parties acknowledge that occupancy of a building without a Certificate of Occupancy is a violation of local and State law and exposes the violator to criminal and civil sanction. If occupancy occurs before Final Inspection has been completed and the Certificate of occupancy issued, Catawba County Building Inspection will request the power/gas company to disconnect the main service to the building, The undersigned makes application for permits and inspection of work described and agrees to comply with all. State, County, codes and laws regulating work, -`IN I - Signature of ctrical/Mec�n��an�ir�al Contractor Signature of Owner or ent Building Code Official Sworn to and subscribed he'�xe me this day of -1-t, C official Seal Signature of Notary Notary Public 1) Mis y commission expires Q.Lxti-J'�.20 Ik NO **This form must: be notarized if signed out of office. ,fIle I : \OLM I U, re �\St