HomeMy WebLinkAboutB3-2137 TEMP ELEC & HEAT APPLS.PDF(828)465-8399 Office Number P.O. Box 389
(828)465-8962 Fax Number Newton, NC 28658
CATAWBA COUNTY "PLICATION FOR PERMIT
(CO
(Please print or type) XMZRCIAL ONLY) Date ld-6
Temporary Electrical --4� Temporary Mechanical
6A-D 2-Q V �32Building Permit No.(If Applicable)
Property ID No, Use of Structure
Physical Street Address t Y)Z--
Owner V R- �C- Telephone(
Last First
Owner's Address
City State Zip
Subcontractor C li'rv\ M�CO 'Acd-o 'T 1, VV\'S --r't 1., Te 1 epY,. one (-F
(As Listed in License Book
� 9.2 Subcontractor Address Vf C 0 �\r (41 0
City State Zip
\&State License No. & Classification -T
General Contractor
Lo
Location of Structure or Project (Ph sisal Directions, Road Numbers and Names, Etc.)_
This agreement between Catawba County and I(Owne
or Authorized agent)authorizes temporary power/temporary mechanical service tobeestablisher
on the Building for above named project for a 2) 0 day period.
This agreement does not constitute a Final inspection for Electrical Power/Mechanical
Service. We further release Catawba County and its employees from any liability which ma)
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 cc
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 the work,
Si star of 1/Mechanical--------------
Co re�er or Agent
JBuii ing Code Official
Sw t o and S scribe�dbef�or. m^
Sw to and subscribed before me this 6 day of 0, 1''2 O
'
00
0
C 5:A
Official Seal
Signature of Notary Z
ry ub
MY commission expires_L,� ,A 20 Note Plic _Ob 0'.
: 0
"This form must be notarized if signed out of office, L-3 L C'
.. Office Number..
(828)465-8962 Fax Number
P.O. Box 389
Newton, NC 28658
CATAWBA COUNTY "PLICATION FOR PERMIT
(COMMRCIAL ONLY) h
(Please print or type) Date_612 tl
` L02-b 0 3 Temporary Electrical Temporary Mechanical
�_iq
ding Permit No. (If Applicable)
Property ID No. Use of Structure
ihysical Street Address
city) , M C,
owner J k c 7 ! Telephone ( }
Last First
owner's Address
_r City State Zip
Subcontractor G�" + Telephone ( �9`
(As Listed in License Book)
161
Subcontractor Address 71w, � L; /Y >L/..
ity State Zip
State License No. S Classification Count,y Account No.
General Contractor ,1 Telephone( )
Location of Structure or Project (P ysic l Directions, Road Numbers and Names, Etc,)
agreementThis between Catawba County and(Owner
or • +r agent)authorizes temporarypower/temporary
aboveon the Building for
This agreement does notconstitute Final InspectionPower/Mechanical
Catawbaservice, we further release 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 dR--scribed and agrees to
comply with al State, County, codes and laws regulating the work.
' (2
S
ignature o Electrical/ Si ature o O er or agent
Code Officialto and subscribed before me this a 0 day of ;NE. ,•? ,`'`®e
el
Official Seal
C c p
Signature of Notary
Notary Public
,r
My commission expires---
1LLI 20 O
**This form must be notarized if signed out of office.
a