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P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
Phone: (828)465-8399
e Fax: (828)465 -8962 PERMIT NO.: ELE2005 -00473
APPLIED: 02/28 /2005
Web Site: www.catawbacountync.gov ISSUED: 07/13/2005
18 4 2 Popular Pages / Online Permit Center EXPIRES: 01/13/2006
SITE ADDRESS: 2405 BAYLEIGH DR VALE NC
ASSESSOR'S PARCEL NO.: 266801396137
TYPE OF WORK: NEW CONSTRUCTION
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 1,340 sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALL ELECTRICAL --- - - - - -- fee w/bldg permit
OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2
JACOBS FORK INVESTMEP HARTMANN ELECTRIC
2671 EAST MAIN ST PO BOX 517
LINCOLNTON NC 28092 -43! H]LDEBRAN
SWT #6585
Electrical Fixtures Fees
Fixture Type Amps Q uantity Type By Date Amount
PRMT SS 02/28/2005 $0.00
Total: $0.00
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 caning, 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 MAYBE 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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Feb 16 05 01:06p hartman 828- 387 -5760 p.1
{828} 465-8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
(828) 465.8962 Newton 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 + r
Tyne of Permit dElectrical ❑ Plumbing ❑Mechanical ❑Fire Date [ -
Active Building / Mobile Horne Permit# -QDq-f 3 Property ID # Cd known
Use of structure: ❑ Mobile Home ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial/Factory ❑ Church Owned
❑ Gov't Owned ❑ Accesso
Physical 911 Address of Protect d5 L L4 1 6 !A her ive-
Owner or Business Telephone
Addre
Subcontractor f fu's n U C C�I (- t . Telephone
Address ` �_ License # � � � � � ' �--
General Contract . 1' �► r U 6n Telephone
Design Professional Telephone
I
Address NC Reg #
ELECTRICAL Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Panel ❑ Pole Service ❑ Wire Mechanical unk 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 BathlToilet Rooms.(Includes future.) ❑ Fire Sprinkler System (❑ New ❑ Addition }
Total number being installed ❑ Gas Line/Pressure Test only
❑ Mobile home (new set -up only) ❑ Nodular Home
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECHANICAL (Check One) ❑ New Insulation ❑ Change out exiting system t
❑ Heat Pump or Furnace with A/C Total #_ [3 Gas Line/ Pressure Test
E] Furnace (09, Gas, or Electric) Total # — ❑ Gas Logs Total # _
❑ Air Conditioner Total # _ ❑ Unit Heater Total # _ {
❑ Water Heater (Electric/Gas) Total # _ ❑ Modular Home
[3 Other {List)
FIRE (Check permktype applicable)
❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire MamUDetection System ❑ Hazardous Materials ❑ Standpipe Systems i
❑ 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. undersigned makes application for
permits and insp n of w pyk descri agr to comply with all applicable Sta es and s r ula - the work. t'
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