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P.O. Box 389 PLUMBING
Newton, NC 28658
Phone: (828)465 -8399 PERMIT
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Fax: (828)465 -8962
\ \ PERMIT APPLIED: D: 05/ 10/2004 0671
Web Site: www.co.catawba.nc.us.
18 a 2_ Popular Pages / Online Permit Center ISSUED: 05/10/2004
EXPIRES: 11/10/2004
SITE ADDRESS: 6164 DWAYNE STARNES DR HICKORY NC
ASSESSOR'S PARCEL NO.: 278004941362
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALL GAS LINE
OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2
DANNY HEFNER PNG PROPANE CO.
1258 IONE BAKER RD PO BOX 6
HICKORY NC 28602 -9265 HICKORY
SWT #40861
Plumbing Fixtures Fees
Fixture Type Quantity Type By Date Amount
GAS LINE
PRMT MR 05/10/2004 $37.00
Total: $37.00
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
CONSIDERED 1st 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 $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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05/97/2004 08:29 8293241363 PNG PROPANE PAGE 01
(828) X165 -8,3 Officc Number CATAWBA a o COUNTY P.O. D ox 389
(828) 468 -62 Fax Number i y Pu Newton. NC 28655
$ 0
(Please print or type) APPLICATION FOR PERMIT Date 'T
Electrical Plumbing Mechanical — Fire Sprinkler TOTAL SQ. FTG.
Building Permit. # Property ID # Use of Structure
Physical Street Address �y
Owner /Business h/L'� 9 f �Dl A -e r Telephone P 7- 09 O f
Address aIN ` I
r'iry Riafn n
Subcontractor 1 1 rD c;/16_ CD Telephone ( 0
�t
I.latcc � UC C I r ,, WWI
Address f 0. & /y't G/C Ors+ ��✓� C . 0�8� 3 License #
City Star. Zip
General Contractor Telephone f 1
Location of Structure or Project (Physical Directions, Road Numbers and Name, Etc.) 3d/ .5 f0 12 7- 5
(
d-f 4Z3 A, 4 y - D &ey a a .S'l Xd_ - 7 420s 5-A& Z 66 s S
r tt
/1dG -S0— c9/7 f -i4��r
�•..: �: n �... n ,,,,,,,,,,; ,, ". r. ... +�. -... .na: +: r:,w. 'A:,.••.f::4�: e':rr� ......... :Ai'..{';..''.�.....+.. +...
.•..... r.�f.Y.�...: ..v..v.w• ...,+:�....• ,::�.......: •Y:1 :�:� ... •r ,.>.....+ �:!�:A \'i:.... .... ,
ELECTRICAL, Panel #1 Amps Panel #2 Amps Panel #3 Amps Panel #4 Amps
New Panel Pole Service Wire Mechanical unit only (No Service Change)
Sub Panel Service Change Interior wiring (No Service Change)
_ Saw Service Load Control Other (list)
_ Sign Service Mobile Home
"Ii more than one parted list size of each* TOTAL FEE $
.. >. _e. <�; -, r, a3. ?.:., x' rye Tu'� 2' .'•e4.r f � , �� :.:. .: ? ....e. ,. s...:. ..:. fr,. "3 +: . �.:.'., ...i ..:. � + �es. � :..: ...:.. .+.u:.'...
!•�,.. , ....t <.<. K�( ?fii`k�.,��'�'Ff .a .r.gi.. ^ ..M
PLUMBING
Total Number of F)A) or Partial Bath /Toilet Rooms Fire Sprinkler system (New /Addition)
(Including ones for future use) Gas Line /Pressure Test only
Mobile home (new set -up only) Other (list)
Water Heater (Electric, Gas)
TOTAL FEE $ 1 1 4 2, Oa
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ae s ....:.,. .., .+...v� �.,. , • . ... ! "'•>Tf:ri' `;r. � f ^�a:' X }: }h :b�:a:i" q.,�,�..
f..... :. < r,. n .+, .: *:.: :�.: ..a.sr..,. . '. e .:....e>. ...:' ........... .. .. <.:.:.,. _:. ,,. ,. , ... ..::£�'� .:.... +. ?i :..!+�........s.
f:.,, ,t %.'..,...,.ei; i•`..•f. +.. s:iii n..: +:.. ,.:`,k
MECHANICAL (Check One)_Ncw Installation _Change out ea system (additional wiring -NO / YES)
# Heat Pomp or Furnace with A/C Water Heater (Electric, Gas)
#_ Furnade (Oil, Gas. or Electric) Gas Dine /Pressure Test
#_ Air Conditioner Other (Last) t
#� Unit Iit,aters/ Gas logs
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*List number ( #) of units installed TOTAL IEEE $ I
�.a: >. '•.c'• Woo- +: %b Y:, ' x: .?�i,. +.s
"All fees entered by Inspection Departmc-nt, OURT.F. FEF char cd for work started prior to obtatnin. permit. "" The
iindersigned makes application for p ermits and inspection o work described and agrees to comply with all applicable State.
County, codes a laws regu tin. fbe work. 1�
PRINT NAME ��e.� /� l i �� 5TONn'rU12E t
License Holder k
,tvplicatlons completed out a they offlee by confrarfors not bxdng a biDin�g recount lnvst he nofarizcd.
1, a Notary Public, do hereby certify that persoz? ally
appearcd before me this day and acknowledged the due execution of the, foregoing instrument. Witness my hand
and official seal, this the
day of 19
Notary Public w
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