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�\ P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
Phone: (828)465-8399
v Iti Fax: (828)465 -8962 PERMIT NO.: ELE2005 -00780
APPLIED: 04/04/2005
Web Site: www.catawbacountync.gov ISSUED: 04/04/2005
Popular Pages / Online Permit Center EXPIRES: 10/04/2005
SITE ADDRESS: 4987 E MAIDEN RD MAIDEN NC
ASSESSOR'S PARCEL NO.: 367604947830
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS: HWY 150 W/ FROM 150 AND 16 INTERSECTION TAKE 1 ST RT ONTO E
MAIDEN RD. GO APPROX 1 MILE, PASS MT VIEW BAPTIST CHURCY
ON LT, HOUSE IS 2ND HOUSE ON LT PAST CHURCH (WHITE FRAME
PROJECT DESCRIPTION: bq4 IREAT PUMP
OWNER /APPLICANT CONTRACTOR 1
CONTRACTOR
ROBERT PARKER DENVER SERVICE CO.
4987 E MAIDEN RD 6556 FOREST CREEK DR
MAIDEN NC 28650 -9005 DENVER
E SWT #100
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Electrical Fixtures Fees
Fixture Type Amps Quantity Type By Date Amount
Reconnect Single Mech /Plbg sp 1
PRMT RAG 04/04/2005 $25.00
Total: $25.00
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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.
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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 8:00am. and 5:00p.m.
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(8;Q) 465 -8399 Office Number Catawba County FAX�§CALL ❑ WITH ISSUED PERMIT #
(828) 465 -8962 Newton Fax Number Application for Permit TO THIS NUMBER (7
(828) 322 -6814 Hickory Fax Number
www.catawbacountync.gov
(Please print or type) P.0 Box 389 Newton, NC 28658
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Type of Permit electrical ❑ Plumbing ❑ Mechanical ❑ Fire Date L(- do (5 S
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 ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project 7 10 de n N C
Owner or Business ( a Plr gtr Telephone `F-
Address SA
Subcontractor rtitti t-r :�Kr %A «-e c P < n I Telephone 0
Address r ,e e 14. 6,r . License # _ 1 7/ L
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 Xwire Mechanical unit only (No Svc Chg) Total#
❑ Sub Panel ❑ Service Change Amps ❑ Interior Wiring (No Service Change)
❑ Saw Service ❑ Load Control ❑ Modular Home
❑ Sign Service ❑ Mobile Home ❑ Other (List)
*List each panel installed separately" ❑ RV Service Total Electrical Cost $
PLUMBING
❑ Full or Partial Bath/Toilet Rooms.(Includes future.) ❑ Fire Sprinkler System (❑ New ❑ Addition )
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 #_ 1711 Gas Line/ Pressure Test ❑ Other (List)
El 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, County codes and laws regulating the work.
'RINT NAME _�� �x ��5�� M SIGNATURE Q✓
'% . 'ubcontractorl Lice Holder /Owner
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