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HomeMy WebLinkAboutELE2005-00336.tif P.O. Box 389 ELECTRICAL Newton, NC 28658 PERMIT Phone: (828)465 -8399 c� Fax: (828)465 - 8962 PERMIT NO.: ELE2005 -00336 APPLIED: 02/11/2005 Web Site: www.catawbacountync.gov ISSUED: 02/11/2005 Is 4 2 Popular Pages / Online Permit Center EXPIRES: 08111/2005 SITE ADDRESS: 810 FAIRGROVE CHURCH RD SE CONOVER NC ASSESSOR'S PARCEL NO.: 372215623515 TYPE OF WORK: ALTERATIONS TYPE OF USE: BUSINESS BUILDING SQ. FOOTAGE: sf PHYSICAL DIRECTIONS: FAIRGROVE CHURCH RD SE PROJECT DESCRIPTION: ALTERATION - INTERIOR WIRING - ADDING 1 DUPLEX 120 VOLT RECEPTICLE IN EMERGENCY DEPT OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2 CATAWBA VALLEY MEDIC/ INTEGRATION SYSTEMS TECHNOI 810 FAIRGROVE CHURCH PO BOX 5002 HICKORY NC 28602 HICKORY SWT # 7106 Electrical Fixtures Fees Fixture Type Amps Quantity Electrical wiring per tenant spac 1 Type By Date Amount PRMT LS 02/11/2005 $50.00 Total: $50.00 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 $121.00 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. l 1 02/11/05 FRI 12:02 FAX 8284656353 INSYT 0 001 (828) 465-8399 Office Number Catawba County FAX EfCALL ❑ WITH ISSUED PERMIT # (828) 4858962NewtoiiFax Number Application for Permit TO THIS NUMBER $ 1 5 - (828) 322.6814 Hickory Fax Number X353 www.catawbaoDuntync.gov (Please print or type) P.0 Box 389 Newton, INC 28658 TyAe of Permit ZElectrk:al ❑ Plumbing ❑ Mechanical p Fire Date 2 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 Hare ❑ Single family ❑ Multi family &(Carom el ❑ InduWaWwtay ❑ Chweh Owned ❑ Gov't Owned ❑ ftesssory Physical 911 Address of Project __ 91 Q Vc. � c og c G � r c1„ .SE God N G Owner or Business CC. + rw1.J to o, Vall 4 J;. 1 [_c ,4<r Telephone -Nt6 -3000 Address SJ ;r cone � ,SE o vC( ti Subcontractor -L r4eg Cc.�C Telephone q65 4644 Address 5'W 4nOJCf PC ),36 License# 24 2_7 q - !l General Contractor Telephone Design Professional Telephone Address N o t 2-' v v L+ NC Reg # ELECTRICAL Panel # 1 Amps Panel # 2_ Amps Panel # Amps Panel # 4 Amps ❑ New Panel ❑ Pole Service p Wire Mechanical unit only (No Svc Chg) Total# p Sub Panel ❑ Service Change Amps_ MInterior Wiring (No Service Change) p Saw Service ❑ Load Control ❑ Modular Home ❑ Sign Service ❑ Mobile Home Q Other (List) 'List each panel installed separately' ❑ RV Service Total Electrical Cost $ S00.00 PLUMBING ❑ Full or Partial BAIToilet Rooms.(Includes future.) p 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 # ❑ Gas Line/ Pressure Test ❑ Other (List) ❑ Furnace (Oil, Gas, or Electric) Total # ❑ Gas Logs Total # _ ❑ Air Conditioner Total # ❑ Unit Heater Total # _ ❑ Water Heater (HActridGas) Total # _ ❑ Modular Home FIRE (Check permit We applicable) Q Fire Extinguishing System 0 Compressed Gases ❑ S praying &Dipping ❑ File AlarnlDetection System ❑ Hazardous Materials ❑ Standpipe Systems ❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑Temp. Membrane Structures ❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other "Ap fees entered by Permit Center, DOUBLE FEE cbaged for work started prior to obtaining It undersigned makes application Gr pemuts and inspecti of work described and agrees to comply with all applicable slate, County and ulaIi the . PRINT NAME F. r 1 .- SIGNATURE License Hol_10 mw AINk t