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P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
.� Phone: (828)465 -8399
' v Fax: (828)465 -8962 PERMIT NO.: ELE2006 -00311
APPLIED: 02/08/2006
Web Site: www.catawbacountync.gov ISSUED: 02/08/2006
lg 4 ? Popular Pages / Online Permit Center EXPIRES: 08/08/2006
SITE ADDRESS: 6201 HUDSON CHAPEL RD CATAWBA NC
ASSESSOR'S PARCEL NO.: 379103230073
TYPE OF WORK: ADDITIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALL ELECTRICAL
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
R STAHL SAME AS OWNER
6201 HUDSON CHAPEL RD
wow CATAW BA NC 28609 -9506
SWT #100
Electrical Fixtures Fees
Fixture Type Amps Quantity
Type By Date Amount
PRMT EDH 02/08/2006 $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 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
peri od 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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(828),465 -3399 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
Type of Permit [Electrical ❑ Plumbing ❑ Mechanical ❑ Fire Date e
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 [v] Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project
Owner or Business R d 8 r= w 4 y 1v 15 S i +� Telephone
Address �o' a0 l H U DSCAI CH 19 pEe-- 2 P
Subcontractor S) Telephone
Address License #
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL (List each panel separately) Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
F1 New Building Wiring El Pole Service ❑ ire Mechanical unit only (No Svc Chg) Total#
171 Additional Service (existing bldg) [] Service Chg. Amps [�nterior Wiring (No Service Change)
❑ Addition of Sub Panel ❑ Load Control ❑ RV Service
❑ Saw Service ❑ Mobile Home ❑ Other (List)
❑ Sign Service ❑ Modular Home Total Electrical Cost $
S ervice Repair
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. 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 /?or /?or 6 C r wAYA/ STS � �— SIGNATURE � / 0"'�`�'� _
�
(Subcontractor) _ License Holder /Owner
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