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'CO , P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
�I L� Phone: (828)465 -8399
Fax: (828)465 - 8962 PERMIT NO.: ELE2005 -01464
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APPLIED: 06/13/2005
Web Site: www.catawbacountyne.gov ISSUED: 06/13/2005
Popular Pages / Online Permit Center EXPIRES: 12/13/2005
SITE ADDRESS: 1924 SNOW CREEK RD NE HICKORY NC
ASSESSOR'S PARCEL NO.: 372405193398
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALLED 200 AMP SERVICE CHANGE & 100 AMP SUB PANEL (NO
INTERIOR WIRING)
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
JAN SAETERN ELECTRICAL ENGERY INSTALLAY
4637 DEAL RD PO BOX 88
CLAREMONT NC 28610 -97E UNION GROVE
SWT #100
Electrical Fixtures Fees
Fixture Type Amps Quantity
_....
-1)..0- 1.00,AMP 1 Type By 1 {?ate ; ; Amount
2) 101 -200 AMP 1 31 ' +
PRMT PSQ 06/13/2005 $125.00
Total: $125.00
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 PER THE CURRENT FEE SCHEDULE 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) 465 -8�6� NeMon Fax Number Application for Permit TO THIS NUMBER (_ )
(828) 322 -6814 Hickory Fax Number
www.catawbacountync.gov
(Please print or type) P.0 Box 389 Newton, NC 28658
Type of Permit lectrical ❑ Plumbing ❑ Mechanical ❑ Fire Date �
Active Building / Mobile Home Permit # Property ID # (if known)
* If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of Structure: ❑ Mobile Home Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ urch Owned El Gov't Owned E] Accessory
Physical 911 Address of Project `z` �� c
Owner or Business 4 ; �cr >► cc l Telephone
Address
Subcontractor Telephone
Address License
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL (List each panel separately) Panel # yl Amps Panel # 2 16i� Amps Panel # 3 Amps Panel # 4 Amps
❑ New Building Wiring ❑ P e Service ❑ Wire Mechanical unit only (No Svc Chg) Total#
❑ Additional Service (existing bldg) Service Change Amps/Q ❑ Interior Wiring (No Service Change)
❑ Addition of Sub Panel
❑ Load Control ❑ RV Service
❑ Saw Service ❑ Mobile Home ❑ Other (List)
❑ Sign Service ❑ Modular Home
❑ Service Repair Total Electrical Cost $
PLUMBING
❑ Full or Partial Bath/Toilet Rooms.(Includes future.)
Total number being installed ❑ Gas Line /Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Home
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECHANICAL (Check One ) ❑ New Installation ❑ Change out exiting system
❑ Heat Pump or Furnace with A/C Total #_ ❑ Gas Line/ Pressure Test ❑ Other (List)
❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total # ❑ Mobile Home
❑ Air Conditioner Total # _ ❑ Unit Heater Total #
❑ Water Heater (Electric /Gas) Total # _ ❑ Modular Home
FIRE (Check permit type applicable)
❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire Alarm /Detection System ❑ Hazardous Materials ❑ Standpipe Systems
❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures
❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other
"All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit. "The undersigned makes application for
permits and inspection of work described and agrees to comply with all applicable State, Cc" codes and laws regula i the work.
'"''PRINT NAME �, SIGNATURE
(Subcontractor] License Holder /Owner
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