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�\ P.O. Box 389 PLUMBING
Newton, NC 28658
PERMIT
J f i Phone: (828)465 -8399
Fax: (828)465 -8962
PERMIT NO.: PLM2004 - 01581
Web Site: www.co.catawba.nc.us. APPLIED: 11/08/2004
Popular Pages / Online Permit Center ISSUED: 11/08/2004
EXPIRES: 05/08/2005
SITE ADDRESS: 8790 SHERRILLS FORD RD SHERRILLS FORD NC
ASSESSOR'S PARCEL NO.: 461 8031 001 04
TYPE OF WORK: ALTERATIONS
TYPE OF USE: ASSEMBLY
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS:
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PROJECT DESCRIPTION: WATER SERVICE
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
MOTTS GROVE METHODIST CHUI MONY'S PLUMBING SERVICE
8790 SHERRILLS FORD RD 1828 ASHLEY ST
SHERRILLS FORD NC 28673 -7205 NEWTON
SWT #6661
Plumbing Fixtures Fees
Fixture Type Quantity Type By Date Amount
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Water Service Line
PRMT MR 11/08/2004 $25.00
Total: $25.00
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
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CONSIDERED 1st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a i
period of 12 months, the permit therefore shall expire.
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* * *AN ADDrrIONAL CHARGE OF $115.00 MAY BE ASSESSED FOR EACH UNWARRANTED INSPECTION SCHEDULED. **
If there are any questions, please contact the office between 8:00a m. and 5:00p.m
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(828) 465-8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
(828) 46$-8962 Newton Fax Number Application for Permit TO THIS NUMBER (_)'
(828) 322 -6814 Hickory Fax Number —
www.catawbamuntync.gov
(Please print or type) P.0 Box 389 Newton, NC 28658
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Type of Permit ❑ Electrical u Plumbing ❑ Mechanical ❑ Fire Date 1 0q
Active Building / Mobile Home Pemut# Property ID # (if known)
Use of structure: ❑ Mobile Home ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial/Factory church Owned
❑ Gov't Owned ❑ Accessory
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Physical 911 Address of Project 'W r i G b 's hQ,rr: I S rrd tCd S kerV', Is
Owner or Business / V pn l 04 S "e, 1 r Jej IPJL� S� -CL Telephone ck90 a a
Address 8 / gD_ ShRrr S �� / : d, �dX �� Etc
Subcontractor D ✓l U "q 1" l I t m � 1 n21 ' !)1P-V - %4 , C , Telephone 0 o a
Address S �, License # of l0 0
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Panel ❑ Pole Service ❑ Wire Mechanical and No Svc
only ( Ctg) Total#
El ❑ Saw Service ❑ Load Control ❑ Modular Home ) £'
❑ Sign Service ❑ Mobile Home ❑ Other (List) E
'W each panel installed separately' ❑ RV Service Trial Electrical Cost $
PLUMBING
❑ Full or Partial BaNToilet Rooms.( dKles Mme.) ❑ ire Sprinkler system (❑ New ❑ Addition)
Total ntirrher being installed ❑ Gas L hWressure Test only
❑ Mobtie horne, (new set-up only) ❑ Modular Home LL
❑ Water Heater (Electric, Gas) ❑ OUter (List) V) 5 Q r v i C e
MECHANICAL (Check One) ❑ New tnstafiaion ❑Change out oft system
❑ Heat RmW or Furnace with A/C Total # ❑ Gas Line/ Pressure Test
❑ Furnace (01, Gas, or Electric) Total #� ❑ Gas Logs Told #� l
❑ At Corndorrer Total #_ ❑ Urt Healer Total #_`
❑ Water Heater (ElectndGas) Total #— ❑ Modular Home `
❑ ONM (Lisij
FIRE (Check permit type Wpicable)
❑ Fire ExirxpWft System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire A rm Delection System ❑ Hazardous Malerials ❑ Standpipe Systems
❑ Fire Purrs & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures
❑ Flammable & Combustible t.iguids ❑ PVT Fire Hydrants ❑ Other
All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit.* ft undersigned makes appication for i
and inspection of work described and agrees to comply with al applicable State, County codes and laws regulating the work.
PRINT NAME 0. VN-) d V\ FV r M P— V SIGNATURE
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