HomeMy WebLinkAboutBLD2007-02528 TEMP ELEC - HEAT APPLS.TIF03/26/2008 15:01 8283226814 CATAWBA 00
/2000 5.50 9090012005 0m' MCHWICOL
PAGE 01/01
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�,� �� b'Gpnla✓. � c.G� w 1
Catawba Courtly Suildlftg SaMces Division
Po Boa 389, Nttwton, No 20M
pamSCWW oftde"389 Newton Fax 528.45&8976 HicxmrYFaa 828.39E-4914
9m
NOT ID let c onneaOIFY Nr d&"g& 6I10 RI.FMYt
TV: BrhseIMd WWM mbv 6eardC WOMS oagoMe mgmeeaM mbjeeb a4pank fee
Pphone a it Coe mebleat efeleekdmd rmgeerabolmmaded on cob ptapn�
aw3do - ox 5 y JobTitlt Mall Bldg Unit#
We do bueby rolvese and agree b indemnify. Pave arrd hold hamlets Ca bWM Ceunry ad 16 emploYev end Duke Power
Company hr m any and all IlabWry due m a arift atom Camwba Ceumy ca be elsatriml swv)a in dm nbovam c tlw" pramims
being dbwm emod, Tmmmfy Pave:* is iomad solely as a coweay fm rue completion of Marmedon and Me buialin,, in wt m be
agyp'aed untll a cadEWe atomgattey h bsue6 AoY vidadgt oPWe above wdl mtbmttie:IlY'� mttNCra7 strulea.
The uu nithe eyttaa bMbre eePlietpmaiom k amieipamd m bq__,rbya or Wa if udliq mmmeedma remeia i¢ tie beyond
10 day; GC NM be blued mmMly pv Cw*tm Seludde. The mmponay use of be pysram is wWwy b open: ilea "VAC am to
provide lighting for do cm¢pledom of dw finish work only those chcuib deal =aeeewry md/v have beat impound red approved by
um dm&3&9 tip doalal mapeem wl be evergbee. Apy 135v daghaTlams adama vemPmarily wand for coo truefi a papmma
will be ®mural fault inmrmpt pmamwC wim toeaceptim a Helm ng ehcuia to amid copdals The but q will be wasmMy supervised
e viSl be steady, lodud wbm it Is mr supvaisrd The eludklm F.VAC, seed P1tm;Med eoawmater6 are ready fm dun wise= to bt
errdized In ameted below,
ToTeapecoM2t MfffYtpatpnbefsigmlag HNtbsm any k shtlow" ea4awar ac awror.Tha 6C In respoe9ide
Far Adedn,41din A" smk7eolorwi a gnsel ed mad sputa m Bee aP a 61101ig se ms wh ir CatawW Cemty F
0add. NO1VIRID Q InIU a91WLr.aRlmbtaBmlbiY dskCfls(GGCOFfMOfdRA'f7p16� ®bN.Im mdtss;r'roc aeeWex
f, 6eethy:pply tMtaatpamy um of tla permamea_ amp
ekeuiwlu +vieemthesmvstmeidea05ad aheve;lwtlwise
Dameteolmowledgmrmt
h0@poraL ngea*b. idrerpdnd, m tlm k9owdog aelre
CabewhaComty bBGmg sseoatd
ot&dd dgaeeurt aCNaeay
Oar" ar CC sipamrra
Nom y'sPrinad «xypd Naas
Primal S44
PYmbd Name Thk
➢Qy roamleslan
As deemoW 6o"Mr, I hereby wedgy dla the emeeieal sysume
( I is �Y ( ) is cot wady m be widgina4. Smeltdmd ta wile be
Dam M 6aba0 uiecigmetd
aaarldand as stated above,
DITKid dgmtua OfNbepy
lsettrke Caoleaaar 9lpnsome
NotarY'sPriom'ar Typed Name
Prhrbd Nor Twe
� )
Ad comaisetioa iae: �
As FHqy/ppC WM= l beroby eadh that me FIVAC equlpmeat
N ' F `�' ti,Z:�• MY •��9e'Y.
( uteedY( )Isool m4y, mbapbadleucvim Ism
aware dial
N oO� 'A '
the deeaiw syrumaniCho activated ea emnd above
. I o�xa
Motome lra*rrumrseboamre ti
t�Yrudti_ ' :�#
NaaY'a[MaMOrTYped Neme
hg Comm! Ion e : J r
iO � -'
v�
lhbted Nsar 'e'hxM Lyme
AA plumbing conrramw i hereby earl* the the PIMMng equip.
( )Isr%dY( )bmtaaWy mbepluedieurvim Iumawere
DwtMattlVtowledgmerrt
tot dte elonical sym ms will he amlvaael an aatrd guava,
Offieid aimoatae of Notny
Plumbing Commove, Bapmm,
NotAry's Prbtsedae Typed Name
Feiyvd Name Tltb
(official 3ral)
led commiesim ex'
TOM 39vd 00 Will 018onaceze ZS:01 Belli /53 /ca
_ i tlAis gee nnbe r.uua
0txo - Ito ) O'lto::)—
Catawba County Building Services Division
PO BOX 359, Newton. NO 28655
Permit Center 8284659,998 Nowton Fax 8264658375 Hlakory Fax 8M-M -6814
SFRVICEACREEMEN 1' TEMPORARY ELBCMICn9
NOTE' Each separar meter to be Wmmamed N mtlfi laa a upparam request aid subject to a separate fae
Acaaa *A rive now twaa►er of eleeleial maters On be installed on Ob protect
BLO 200 2-0'L SW Job 15f1a $—P1N931 Oa:tw
We do hweby release and agree in W moify, save end. hold barmless Catawbe County end it's amplOyma and Duke Power
Company from nay and all tialntity due m or arcing From Capube CopmY mu.6ngtbe alaCfini servfn w the abovo-mentWaed prcaniars
being micobencted. Temporary service is issued solely as a comlpry for rho con of cOmMoctim and the building is nor in be
occupied unit a certifime of ombpancy ls Lsbed. Any vbkGonaf the above will our AMMIC16y void tempormy service.
The me of ate syseemlaetam firwl irerpeedon u nmietpxadrob_ days a kss-If nudity cwrmamn relabte in ase beyond
30 days GC will W billed moodily per Cannot Fcc Scbrduie. nee rernpomry rase of dte system is neoessary to operate de, AVAC and m
provide lighting for the completion of the finish work. Only those chains, din are nommary and/or have been inspected and uppmvcd by
dre eleebicim and eialric +t inrpaeter. wym b Any ITSv sia9e'Pbtle ettmdta temporatily natergixrd 2or egb3trn4bOa pwposee
will be ground fault inumnuptproutemd. who the amcptim of lighting eimuia in metal omduit The building will be constantly supervised
m will be accurely lacked whm it is out supervised- The &Wieiae, KVAC, and Plumbing mnvactors are ready fa the cystems to ba
rasp , as ono"bnlow.
The rsspomble agaitfor the pirpmeofa*%bg fWalbrm mq be the general contractor or owns. The CC 4 responp'bla
for Admlmkmative face rtnkM otberwBearraoid aid agtem m atsup a Winn@ xcomi whh (Brawler Coanty Ptnerru
nepa.emcatlbr ranewd ntagretm®r, Klaeedad. TLeeMerekalmhaeaorShaB000rGUntethis irepeetion whh baild'erg aervece
oPvaL IA C'ONrn4bmYffi'1'eR a7NLL B6PmIIi®EY6f.Ef.'rIBC.1I. COtffXACIOR A77'aLLt OF �41.ID b'BPgtyrIONJ
f,b=by apply fur temporary use of der pwmanm _ amp
electdeal service to the structure identified above. I sul gaimm
bilker of an renewals, B'retraled, m the tWbwigacd-
Carawba County bUft octuanat nomMr
Owen or GC S pamrn L=-,rL i ee A � S Z
Daze of aeknowirdgment
Official signaman of Notary
Notary's Pritmdor Typed Name
(Official Seal)
MY eommiashm expires:
As electrical contraemr,i hereby cW&V that the electrical system I Dace aF atkrrowledgment
( ) is ready( )isn!feedy m be etargimd. branch circuit$ Will be
alergwed as sorted above Official signature of Notary
Outmost Contractor NPRO R
Ndary's Printed M Typal Name
I-. U -_- (Offrefal Seal)
At EVAC eoobawn I herahy I-" We d,a If VAC egWpmeat
( )israady( )ismmdy mtteplxadinsuv9ee. tam
awam that die electrical sysrcros will be outlasted as stated above
Mothanind Cofactor Sipab re
Printd Name
Date of ceknowledgmmt
OfFeid aigwtma urNOmry
Notary's Priatad ac Typed Name
(Official
As olambinS oonaactor I hereby wdry oar the Plumbing equip.
( )isrcady( )ismreadY mbe plxedmstrviee. Imnawam
that the eloccrical systems wr11 be acneJJ��dd m 3!9411 abo
Plumbing Contractor Sigmmre ��
Printed Name Mwarr
MA
Official sigrmtnne afNrttvy _ - _. , ^ � - -
4trida -
Nolary'sPsimadorTyped Name -
u.,,v,.��:.a,v,.r,,:�. 9.04 -09 (Oficra(5e326
TOTAL P.002
Catawba County Building Services Division
Ng
C PO Box 389, Newton, NC 28658
Permit Center 828 - 465 -8399 Newton Fax 828- 465 -8375 Hickory Fax 828 - 322 -6814
/gq2
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Please list the total number of electrical meters to be installed on this project .
BLD200 62 job Tltle_ )y5
Unit #
We do hereby release and agree to indemnify, save and hold harmless Catawba County and its employees and Duke Power
Company from any and all liability due to or arising from Catawba County causing the electrical service to the above - mentioned premises
being disconnected. Temporary service is issued solely as a courtesy for the completion of construction and the building is not to be
occupied until a certificate of occupancy is issued. Any violation of the above will automatically void temporary service.
The use of the system before final inspection is anticipated to be days or less. If utility connection remains in use beyond
30 days GC will be billed monthly per County Pee Schedule. The temporary use of the system is necessary to operate the HVAC and to
provide lighting for the completion of the finish work. Only those circuits that are necessary and/or have been inspected and approved by
the electrician and electrical inspector will be energized. Any 125v single -phase circuits temporarily energized for construction purposes
will be ground fault interrupt protected, with the exception of lighting circuits in metal conduit. The building will be constantly supervised
or will be securely locked when it is not supervised. The electrician, HVAC, and Plumbing contractors are ready for the systems to be
energized as attested below.
The responsible agent for the purpose of signing this form may be the general contractor or owner. The GC is responsible
for Administrative fees unless otherwise arranged and agrees to set up a billing account with Catawba County Finance
Department for renewal of agreement, if needed. The electrical contractor shall coordinate this inspection with building service
official. (A CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.)
I, hereby apply for temporary use of the permanent amp
electrical service to the structure identified above. I authorize
Date of acknowledgment
billing of all renewals, if required, to the following active
Catawba County billing account number
Official signature of Notary
Owner or GC Signature
Notary's Printed or Typed Name
(Official Sea])
Printed Name Title
My commission expires:
As electrical contractor, I hereby certify that the electrical system
( ready O is not ready to be energized. ranch circuits will be
Date of acknowledgment
energized as stated above-
Electrical Contractor Signatdr
--
Official signature of Notary
Notary's Printed or Typed Name
Printed Name 411n L L0-o dm
(Official Seat)
My commission expires:
As HVAC contractor I hereby certify that the HVAC equipment
( ) is ready ( ) is not ready to be placed in service. I am
Date of acknowledgment
aware that the electrical systems will be activated as stated above.
Official signature of Notary
Mechanical Contractor Signature
Notary's Printed or Typed Name
Printed Name Title
(Official Seal)
My commission expires
As plumbing contractor 1 hereby certify that the Plumbing equip.
( ) is ready ( ) is not ready to be placed in service. I am aware
Date of acknowledgment
that the electrical systems will be activated as stated above.
Official signature of Notary
Plumbing Contractor Signature
Notary's Printed or Typed Name
Printed Name Title
(Official Seat)
My commission ex ires
MAR -26 -2008 09:47 CATAWBA COUNTY 1 828 465 8962 P.002
14ti 0t O Ito J'0 - 1(o)—
Catawba County Building Services Division
y PO Box 388, Newton, NC 28658
Perri Center 828- 465 -8399 Newton Fax 828 - 465 -8375 Hickory Fax 828 - $22-6814
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee
Please list the total number of electrical mcters to be Installed on this project_____„
BLD210 n=Qaj'1R ]ob Title x6,. I 5_PIN # ;,} r ]t}',Iloyb435, Bld&# Unit#
We do hereby release and agree to indemaffy, save anit . hold harmless Catawba County and it's employves and Duke Power
Company from Any and all liability due o or arcing from Catawba County causing the electrical service to the above - mentioned premises
being disconnected. Temporary service is issued solely as a courtesy for the completion of construction and the building is not to be
occupied until a certificate of occupancy is issued. Any violation of the above will automatically void temporary service.
The use of the system before final inspection is anticipated an be days or less- If utility connection remains in use beyond
30 days GC will be billed monthly per County Fee Schedule The temporary use of the system is necessary to operate the HVAC and to
provide lighting for the completion of the finish work. Only those circuits that are necessary and/or have been impectcd and approved by
the electrician and electrical inspecmr will be energized. Any 125v single -phase circuits temporarily energized for coostruelion purposes
will be ground fault interrupt protected, with the exception of lighting circuits in metal conduit The building will be constantly supervised
or will be securely locked when it is not supervised. The electrician. HVAC, and Plumbing contractors are ready for the systems to be
energimd As attested below.
The r'itsponvible agent for the purpose of signing this form may be the general contractor or owner. The CC is responsible
for Administrative fees unless otherwise arranged and agrees to act up a billing account with Catawba County Finance
Department for renewal of agreement, if needed. The electrical contractor shall coordinate this inspection with building service
Official. (A CONT1N MTFATER SHALL BE FURMSHED BY ELECTRICAL CONTRACTOR AT TIME OF S Craon.nnn RVSPECTION.)
1, hereby apply for temporary use of the permanent _ amp
electrical service to the structure identified above. I authorize
Date of acknowledgment
billing of all renewals, If required, to the following active
Camwba County billing account number
Official signature of Notary
Owner or GC Signature
Notary's Printed or Typed Name
(Official Seal)
Printed Name Title
My commission expires:
As electrical cormactor, i hereby certify that the electrical system
( ) is ready ( ) is rat ready to be energized. Branch circuits will be
Date of acknowledgment
energised as stated above.
Official signature of Notary
Electrical Contractor Signature
Notny's Printed or Typed Name
Printed Name Title
(Official Seep
M commission <x roes:
A.x HVAC connector I hereby certify that the HVAC equipment
Date of acWtowledgment
( ) is ready ( ) is not ready to be placed in service. I am
aware that the cleotrical systems will be activated as stated above.
Official sigmturc of Notary
Mechanical Contractor Signature
Notary's Printed or Typed Name
Printed Name Title
(Official Seal)
My commission expires:
As i contractor I hereby certify that the Plumbing equip.
3 - 16 -ov
f
is re n s
(/) ready y N ( ) is not ready to be placed service. I am aware
Datz aeknowledgmem
that the electrical systems will be aaiv as stated above.
Official aignaturc nFNnmry
Plumbing Contractor S'rgmture
/ y
L r ' da TO'I'L
L
Notary's Printed or Typed Name
Printed Name AvMejra(rrarwe_ Tttic Q" �`�°�
9 - N -09
(Offer.]Scat)
M commission ex ves:
TOTAL P.002
MAR -26 -2008 09:47 CATAWBA COUNTY 1 828 466 6962 P.001
I �,, ttfa fed OIvco
Catawba County Building Services Div1Slo11
PO Bar 389, Newton, NO 28958
Permit Center 82&465 -8399 Plan neVlew 829.466.5130
Newton Fax 8 2R•4:5.11M Hickory Fax - 82&322.691
CERVICE AGREEMENT TEMPORARY BEAT
140TE' Each aepan ne ratter to be contacted %COMIAVItd aMparate regarstaffi 20113W to R %palate fee.
Please Life the total cumber of sac mean on be mem86d On this pro jaet_
BU120e - DQSa£.f True S_ PINII � -4aSL Rldre UrritN_
In an effort to 'gain eownaters in r»mpktiag cwnuction project,, this office will implement the following polity. Theutlirationof
permanently installed gas hosting egdipmoa[ m Maintain arwiloaotimal conditions necessary in facilitate the mstallation of
envnmmsapraUy aengitive mMaiatl, or finishes in acrddancewith tnwafaccarx's inmuetiars is permitted by the North Carolina Sly,
Administration and Enforcoment Code with she following IoW . The owner, general contracror, and mechanical comraetm
Mgt sip this request form for temporary utility Connections. The ream mum be filled and Comple4ly.
The following regahoraaett will aim apply:
1. All heading units to be placed in Opasdm shall have We following i ramis inspeiged fm compliance if applicable.
a. Venasyxtern(Pnoduct afeamWKion)
b. Appmpt 4ta kmamt ofcumbncUbn air ie pmvided.
c. Gas lines shah be praetge caned and nialAected.
d. Weer Liars shall be preaowe aaaed and fnapocrrd If georbmmal or Ceti supplied by a hot water heater.
a Condensate traps and lines in plain and impecuaL
f, Montreal circuits hutelled with approprima disconnect, over- curreet, equipment grounding. eonduerare +did raceway'
F Redigeraaon lines shall be mapeeRd with appropriate prasum certification taint,
h. All ges tubiag shall be labeled per gas code prior m mnpehary heat impection.
1. Approved temporary clemrieal powtr is a pmre nsisite for temporary heat finis Can be whedulW wrnuh an "Iy with j
temporary elecu -I-)
2. No occupam:y of toy kind ( persons, furnishings, etc.) shah be allowed timing t period without prior eppnwal of the Code
Enforcement Official.
3. The use of the system before final inspection is anticouad in be, days or less. If utility connection rcauina in use beyond
30 days postal contractor will be bi8od monthly per County Fee Schedule.
4. Tf dice ix any utol4tion of thix ageem did. this aarvice shyl be dixmmwcred without prrornonce m the participants. This shall be
time without any obligation of respieuibility en the pan oftho Code OtEcSy or Ctawbo Couaty.
5. All processing fine fro applicable u ourfonh in the Cktewba County fee schedule.
i have vend and agree it tan procedure and guideline as ten forth by Catawba County and will abide by the cnndhiom and qualifiutrma �.
boiler which it ix issued. I fuller agree last failure to comply with the procedure may mault in dimomecdon of gat, rovpeation of pnmit
AIWl dun rduum m toaster further regwaft for temporary gal. I also 2grW1D haw: A billing SCCOam set up with Catawba County
Resome Department fit that any renewal tea of temporary service can be mtomuically bWod if necdrd.
1 do heeby apply for temporary use of me p=,m,,nt h ®ling
xystem located at the structure identified above, l atathorfx<aillfog Dawn ofachaowledymenr \
of all reocwafs. IIfrequted, to the fblbwing active Camwba
County blIftwcmaat mumbo 0f9clal vgmnaa o(Noutry �� - {
Owner or CC Signature �- Ji !� 1 ' .. Notary s printed orTyped Name �
Prbuce Name a tl; ! a C. i n.,.` M Comm' i (Official SCSI)
Rz a S y ' tsa on expires:
Ax m Chanieal eenowenn, I hereby certify shat the mohancal
syatam ( ) is ready () it not ready to be placed in sends, late of acknowledgment
ORcial signnowe of Notary
Maehankal Contractor Signature
Notary's Noted or Typed Name
Printed Name Tick (official Scal)
03/26/2008 11:43. 8283226814
03!26/2008 11:46 4043612035
CATAWBA CC PAGE 01/01
.laM MECHANICAL, Z�x�'y J /COrI °Ik3� !6647
Catawba County Building Services DIVirs +an
4 PoangCesaer MS 445 Box Sae, Naw[an, NC P law 928.49"190
Nmame FAX 1128485.9375 Hickory Fax 98&322.9974
688VICEAG3tER.mVfr TMMRARY RUT
NOTE: Bach apoeele meter to be Mainland Is cost"ed a esparste sePast and sealant to e sgmm Poo.
planes, Istil `` cumber apSasawmsaM leebrt4led ea 1hY prg4n4
B t»a°�eA Jebflde Bldedt OuN%
m = , lion mascstdn°uamon in gwVlodne eoosoualo, pr cob. dale off= wi8 impicmeot4m&Nawing pbuw. Thoidillftsmof
Panamamaly barrelled gu heading; epWpnano[ 4 medrea a eavimensaml ooadimae aaceamry m fuillmathe mrs ellabon of
wvleoemelaWiy reM%iveaa4rlala, w oar lees In scamig mwitnamtdnebrm'simmmamauprRmmea by dx Narth Cmalbu Sate
Admiaktanion wed Eabrceusnt Code wilh*e Rlbaiag local rsgwistnmu. The owdt, rattal ewbuamr, and mmhndaal moasdtor
mwtsiae fbssrequm form f MPO°b9ulil1Vcanowdoos The Rim mast he Wed! mulwIDpletely.
The folawlea ssgbh'eseban win Was, appw•
I. Ali heeding unks to be PlUad inePamdan shag have the Rgowing loom, laspxtea flrweripgmw ifappllrable.
A. Veal RyeMMINIOae ofa0mimstimd
b. Appopriate annum ofwmbuufoo air is pmvided.
a, rlas hem slue be pmsaae mated and iMpecna.
d. Oranr !lees sand bee pnrynoe toted and aepwted ifgeodkxmal ptaea wppged by R ML wMf ham,.
a. Cmdsstatetapt eadli�
f ffiphman dump
IDecsiaJ Glfauin itamad wig, apptopriea dimwast, oar- auaen4 equipment grounding, roaduera'a and msweya.
g. ReB mwloa liens, U baingx+aed who appropti telaessure Oadfiatioamas,
h. All gas cubing #All be labeled per am node prior so nVoruy ben inspection.
i. Approvedtsmpwmy electrical power is apraagehhefor vallpotsry beat,(Th{e go to setaduled simulum ty wbh
samporsN U°eow.)
3. No occupancy of any liad(pdsm6. fiabehbrgs.M)"I be allowed during this Period, w4Ram prior approval Of tM Coda
6dmdemean OCidtl.
3. Thee we of the system bye final impsedoe is sMicipsnd to be__ days a race. II utility connection Temerim In use beyold
30 42y awan l mna sever will bebiuw stmdrly per Casey Pen acnalow.
4. If then uam vidnloe ofd& oatewoeeR Oda snrice shell bediseoaameed whbomPtier notion to the Paniclpesrc Tbisshailbe
done, akbout sayenigano° oftesp°mibility, on the part of the Code Official or Catawba County,
5, AD prmeesing Chas M appggollb as see Rrth in the Catewba fbulay fee seheehak,
I be" read arm agree to th pmadme and guideliam as cut forth by Cmawba Cous y and will A" by the coedidwa sec qualiamdmrs
udder whiah h is isewl 1 turtbersgreG loaf Lgnw m campy witatifa prmdwe toaY reads iadiscomae0onof gas, tevaeadea of permit,
aWw the refusal m w°sderamhuregagfs £br trcpsuY gu.I elm apse m haw a billing saaaaat we up with Caawba County
frmewa DOPere" V Ihel my amewal loss of tonupwary ANiaama be acmmatWlly billedifrgdt&
I do brawny apply fa temporary use of the pas meroar amrleg
sysnm loealed a the seaman iseadw Above. I aeumehe b9epg
of all renewals, irrtgnhad, to ate gdlewutg nod" Catasdr
COasty billing aOmunamoaarr
Dan of admowledgnml
Official "gesture of Norsry
Not"Is printed or Typed Name
Owam or GC signer ewe
Ptioted Name TRle
11/7 oommied" enplm..
(Olfuiat 5ea9
Ae a�ro) m ml aoammr .tasroaroWiytmataemaohaaicd
rYSean()is ready( )knotteWyto anpladlfismvO:c
4 ` irtt TEq�
Dam C wi
"H�.
Mechasinl COnersatoy slry�RL,s�st,d�
dgss of "
i
0 f
AV
`�c�
' p,p zi
PrAted No 1a�IC�I
Notary'sPCiated m'lypod Name
'9fD I) L% ,:
K S
bM 9.
s
z
C '
PLU;v , 61"&- C,3"Tg4gyrofl SIG.rj A– rtyr2:.•—
(rR! u N A.nG n / r � rr nrurmdma a
-� - 117 1;
t9 /tee 3JVd 00 y8spltrJ ot99LZE9Z8 0Z:a9 900E /9L /f9
03/26/2006 13:20 0 8263226814 CATAW13A CO PAGE 01/01
nor Lb /2008 11:4 a04361Y035 J&M PEGW1N1l;AL
2MI3q l /Oo j0(,tgG 1OCs41
Ciftwbe ICouft Building SerAces Dlvietun
PO Box 389, Newton, NC 28650
1 PMmd Cenf9r 82048fii389 Plan FleNew 8284885130
Naaon Fox 828-0630375 Hickory Pax 828.3224894
91MVICE A GR'RBh1P:N'J TISh1PORARY FLOAT
NOTE, trebc to baeaMteded is coaliltha sd a n pvm rquetand sables toampayaw fan.
1'lg9e fattlre tout meberafgo uReasfs be heWNd on t8s Pyal ea4,..
B lL Job 719k 7A Rd1C T P)N* Bwc# Vako
4 m dtW[mark[aoegac a k computing cbmmm8oe proieeb, tltis ofdm w ll implstaeta d a blbwing pol ey. The "aanon of
permanently ently hamged gas haet4g agdpme m m aeiawin eavirotmmrwl candidate, mo nary ru facidmto the installation of
ea•boAmeowlly saeriti- meretisi, o eedebas is aoawdance wbb MaUfteaada inbtruadaaia permruod by t Worth Cmeli" 8"
Adadaimaiian tad BnihteemmrC 'ode wahrpe galioakg ball regekemmn. Tbeovww, grxn{owC,kmf, sbd merlwmcal 400trectm
aea4ga thm myuest Mmtar tmpomry mility caoate00oa The farm nwe he f8led out ClxppietrJy.
Tbefi0ewk0 augpireaeata wi24ae appp:
1. Ni peering ubhs lonepinwed kapaarian eboll sere dm kll6vimg xew bspeckd for aampllooe ei #applimble,
a. Vaxsysmw<tYOMcrs doonbmrnom)
h. Appropriate eebu6t ofmbburdoa ehr4pmvidM.
c.
049 Jim "I be proetae need and jespees ed.
d. Water lklt shall be pmamrc wabd and bapmud itgenriardal a oo8 sappikd by u hat ware be W.
Condeesaw tmpaaad l In giaaamdimpeema.
f Bkandeal cimWw imtalleal WM appropriate discorome ovatcorcmL equlpmaa gmueding, cmaiumen and seaways,
g. Refngmdm San shall be kspmtsd with appropriam Mum aon:9esbox ream.
h. Adana tablag shall be labrsed per 03604 plier b tmpaary ban inspection.
i. Appovedwmpwary dearicoi panne it aprengaWat firtemporary hot. MIS a a a be mMdulW eimulpmeudy with
mwpormy cleculmU
I No 6eapessy ofAey dds!"aYm. aaoinhig%ac.) shall no allowed during this petiod, withootpnor approval of th ?Code
eukreaormr Official.
3. The 6ae of the sYawm bedom fah hmpmdan4 mticiMmd an be--_ Boys or kce. If Oft mtmmism rcuufeu fn we beyarl
30 den gmeni coarmemr 001 be billed Monthly per CWa[y Fen 9ahedde,
4. Ift*m is aoY violaaall oftkb agtammaat,(tet mryke shall baWamomundi MBeueprior mtke to the pertielpeua TWelw0be
dodo vAtbout altyob2ga8os otfaapbmibilitymtheprt MrheCodcOPBc41 a CsawbsCmery.
5. All pracwaing besmeppWable3 ere Cemwbn Ctmay foaacbrduk,
I hive read and 14M m this ll=mhuehad guldelima at as forth by Cmv m Codoq sod will anion by thema lkl6m and quatl8radom
undo whfei uis isauad. Monier ManthmigIMmm cmwy ehhulamedee ma TO& indiacomxntiwt of gsa rev6cadoaof permit.
ood/athe mewl mmmidafurtheragam4 far aanpouy Sm I also ape m hove a b8bagaccouxt ad up with Cmwba Camay
Flamm Depaaxa so bar aq reee,eal Rn daapaeary srfvtea em he summsuaallY b01ed [tamded
ldo baby 6 ppb fa rmwwyme of bo xmbmm beating
eyaralxatrd At themoeaae ldeea6d abm. I aumm4u Wish
area erdewsk, Yrmfolted, to the bikwd{ sot" Caliwpa
County bilhog aeewlntallmbet
Dam of ackwwledgmrnt
Mcial 30 040 of Newry
Notary's Namd m7yped Name
Owaar or OC 94mmre
Psfipd Na T0b
ptJ' cmrm)uioa exptres:
(O(lirlas6al)
Ace mWest I bewbY meOy that the aneabaaical
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