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ELE2005-00382.tif
P.O. Box 389 ELECTRICAL Newton, NC 28658 PERMIT H 1a 1 Phone: (828)465 -8399 v Fax: (828)465 - 8962 PERMIT NO.: ELE2005 -00382 APPLIED: 02/17 /2005 Web Site: www.catawhacountync.gov ISSUED: 06/10/2005 I �4 2= Popular Pages / Online Permit Center EXPIRES: 12/10/2005 SITE ADDRESS: 815 FAIRGROVE CHURCH RD SE CONOVER NC ASSESSOR'S PARCEL NO.: 372216728557 TYPE OF WORK: NEW CONSTRUCTION TYPE OF USE: SIGN BUILDING SQ. FOOTAGE: 60 sf PHYSICAL DIRECTIONS: PROJECT DESCRIPTION: INSTALL ELECTRIC FOR SIGN (WIRE GROUND SIGN) 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 Amos Quantity Minimum Fee Type By Date Amount 1 PRMT RAG 06/10/2005 $61.00 Total: $61.00 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 AFN 0 00or 06/08/05 WED 11:50 FAX 8284656555 INSYT 16 002 • 4 1828) 465-8399 Office Number C atawba County FAX RfCALL ❑ WITH ISSUED PERMIT # (828) 465-8962 Newton Fax Number Application for Permit TO THIS NUMBER ) 46.5 (828) 322 -6814 Hickory Fax Number www.catawbacourrync.gov AVN (Pleaseprintortype) P,0 Box 389 Newton, NC 28658 Type of Permit Electrical ❑ Plumbing ❑ Mechanicai ❑ Fire Date 6 -9-0 5 Active Building / Mobile Home Permit # 9U)= 5 Q 0 317 Property ID # (if known) "If no active Building or Mobile Home permit please list driving directions from a major intersection: Use of structure ❑ Moble Home ❑ Single family ❑ Mull fam4 &Commercial ❑ Indusfial*actory ❑ Church owned ❑ Gov't Owned ❑ Accessory Physical 911 Address of Project 815 Facr9covc / Lre-L. QJ 91 C- 2c T. 2L Owner or Business C,,4,o,JA VJ 1,-Y Mul i co-I Ceniar Telephone 32 G — 331,2 Address _' 310 F ojir3ravc ayrrL U_ A koc„ DUO2- r Subcontractor 1.,+ ca-I-► or. Sys+e,,s Tcc. , n o I EU Telephone q)g S - N G 4 y Address I,;ly uihn - a NC 2 ' ?6 13 License # 2 4 04 — (I General Contractor _Ac•,cc - ic a Si6,% S L.op Telephone %L -IQ 44 Design Professional Telephone Address NC Reg # ELECTRICAL (List each panel separately) Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps C New Building Wiring ❑ Pole Service ❑ Wire Mechanical unit only (No Svc Chg) Total# ❑ Additional Service (existing bldg) ❑ Service Change Amps 0 Interior Wiring (No Service Change) ❑ Addition of Sub Panel ❑ Load Control ❑ RV Service ❑ Saw Service ❑ Mobile Home ❑ Other (List) Mgn Ser ❑ Modular Home ❑ Service Repair Total Electrical Cost $ $� Q. 0 PLUMBING ❑ Full or Partial Beth/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 Fumace with A/C Total # ❑ Gas Une/ Pressure Test ❑ Other (List) ❑ Furnace (Oil, Gas, or Electric) Total #_ ❑ Gas Logs Total #-,_,_ ❑ Mobile Home ❑ Air Conditioner Total # _ ❑ Unit Heater Total # Cl Water Heater (Electric/Gas) Total #_ ❑ Modular Home FIRE (Check permit We applicable) ❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping ❑ Fire AlarmlDetection System ❑ Hazardous Materials ❑ Standpipe Systems ❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures ❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other — AI: fees entered by Permit Center, D UBLE 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. PRINT NAME IT4�an a I i ck SIGNATURE (Subeonhaetor) 7 license HoldeHOwner JUN -0E -2005 12:05 8234656353 95% P.02 Online Lookup Detail Page 1 of 1 State of North Carolina 8 Board Of Examiners Of Electrical Contractors a Online Lookup Detail Thomas Charles Moody Jr. I Name Mail Address Phone Ni Thomas Charles Moody Jr. Integration Systems Technology LLC (828) 465 Thomas Charles Moody Jr. P. O. Box 5002 Hickory, NC 28603 License Number License Type Issue Date Expiration Date Status Listed Company DBA Nan 24274 -U Unlimited 08/01/2004 07/31/2005 ACTIVE Integration Classification Systems Technology LLC Copyright © 1999 -2005, All Rights Reserved b CAVU Corporation g Y 1 P 1 http: / /lookup.ncbeec. org/SearchDetai i. asp? idnt = 524366 &Di visionldnt= 40 &Credenti aIIdn... 06/08/2005 06/08/05 RID 11:29 FA1 828.1656353 I\SYT @j 001 Integration 1224 Commerce Street SW g Suite F Systems Conover. NC 28613 Technology Ph: (828) 465 -4644 Fax: (828) 465.6353 facs itnRe t smi 1 To: p, r~,�� ce_�r Fax: 96 - CSR 6 Z Frcm: , Jo i�o',A DaW: Re: CGP t�14 /ADD _ Pages: it CC: 0 Urgent X For Review 0 Ph%= Conwncnf ❑ Please Rtply 0 Please Recyrrb ANK . • . . . . . . . . . . . . . . . . . . . . . . . Jury -08 -2005 12 :05 8284555353 95% P.01