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Catawba County Building Services Department
PO Box 389
Newton, NC 28658
Newton Telephone # 828-465-8399
Newton Fax # 828-465-8375
Hickory Telephone # 828-323-7497
Hickory Fax # 828-322-6814
Safety Inspection Worksheet
? Date- O�O
Project Name- L
Pin Number'. t0
Building Services Official: O�
owner / Agent, %
0 Plans are required for this project but ftE2_SK_eM2t_ from being signed and sealed by a North Carolina
Registered Architect or engineer. The entire building is less than 2,500 square feet.
El Plans are required for this project and #KftM2LgK2U1M from being signed and sealed by a North Carolina
Registered Architect or engineer. The entire building is greater than 2,500 square feet.
El Contact Catawba County Environmental Health for additional requirements. (828-465-8270)
Eq,-Ko�additional permits are required for this project, work may proceed under Safety Permit #
EJ The following additional permits are required as follows: (Requests for additional inspections will not be
honored until all required permits have been obtained.)
E] Building
[] Electrical
E] Plumbing
EJ Mechanical
[:] Refrigeration
E] Fire Alarm (if in Hickory Regional Planning Area see Hickory Fire Prevention Bureau.)
E] 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.
Signatu
Owner 1 Agent