HomeMy WebLinkAboutELE2002-01076.tif Q, t ' — "c0 P.O. Box 389
ELECTRICAL
Newton, NC 28658 PERMIT
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I� Phone: (828)465 -8399
Fax: (828)465 - 8962 PERMIT NO.: ELE2002 -01076
APPLIED: 5/29/02
Web Site: www.co.catawba.nc.us. ISSUED: 5 /29/02
\I8 4 ?= Popular Pages / Online Permit Center EXPIRES: 11/29/02
SITE ADDRESS: 3705 S US 321 HWY MAIDEN NC
ASSESSOR'S PARCEL NO.: 364709164088
TYPE OF WORK: ALTERATIONS
TYPE OF USE: BUSINESS
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS: 321S/ BUILDING IS ACROSS FROM CITGO STATION ON THE RIGHT
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PROJECT DESCRIPTION: TEMPORARY ELECTRIC ON BUILDING/ 30 DAY AGREEMENT
OWNER /APPLICANT CONTRACTOR
DOMINOS PIZZA CONNELLY SPRINGS ELECTRIC
3705 S US 321 HWY PO BOX 566
MAIDEN NC 28650 CONNELLY SPRINGS NC 28612
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#18940
Electrical Fixtures Fees
Fixture Type Amps Quantitv Type By Date Amount
TEMP ELECTRICAL- AGREEME1 1.00
PRMT SS 5/29/02 $105.00
Total: $105.00
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This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for
such permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of
the County of Catawba and the State of North Carolina.
A permit issued for work under this Code shall expire by limitations six months after the date of issuance if the work authorized (FOOTINGS ARE
CONSIDERED lst INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a
period of 12 months, the permit therefore shall expire.
* * *AN ADDITIONAL CHARGE OF $105.00 MAY BE ASSESSED FOR EACH UNW S TION CHEDULED.
If there are any questions, please contact the office between 8:00a m. and 5:00p.m.
County Buildin6 Inspector
(Inspector's Office Hours: 8:00 - 9:00 a.m.)
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CATAWBA COUNTY
(704)465 -8399 Office Number A co P.O. Sox 389
(704)465 -8962 Fax Number f H Newton, NC 28658
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APPLICATION FOR PERMIT
(COMMERCIAL ONLY)
(Please print,, or type) Dated
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G emporary Electrical Temporary Mechanical
35 Building Permit No. (If Applicable)
Property ID No. _ �'� d�� • �S Use of Structure A V (' "� -
Physical Street Address 5 :.� (Cit,y) ti�
Owner ,U Y !/o c �C 4�'1 �5
Telephone ( ��) zs
Last First
Owner's Address 2 - 3 47 2!,W 4v /(JC : G e-. Z A y/
City pS Sttate Zip
Subcontracto S _ ,v Telephone ) 09 6(6 6
(As ist (!d in Lcense Book)
Subcontractor Address • 0• X 3. LJ&"JA1 &) fi• C
CitJ V State Zip
State License No. & Classification _ (�
County Account No.
General Contractor (�. l�t�C�N
Telephone )
Location of Structure or Project (Physical Directions, Road Numbers and Names, Etc.)
This agreement between Catawba County an Awls' v� L, ' ,(Owner
or Authorized agent) authorizes temporary power /temporary mechanical service to established
on the Building for above named project for a -Rz C> 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 may
arise from this agreement.
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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'
compIt with all State, County, codes and laws regul ti g the work.
Signature of / ec ical a Contractor ig ture of Owner art••••. ,`�
Q .
ARV •,.
Building Code c al �
Sworn to and subscribed before me this 2 da y of � L. .' _
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Official Seal ��; ••'••.......• • �� ��:
Signature of Notary Notary Public �,��q� �k �.
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My commission expires
* *This form must be notarized if signed out of office.
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