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HomeMy WebLinkAboutELE2005-02872.tif 11/02/3005 11:48 FAX 7047353308 001 (928) 46 -8399 Office Ni rrber Catawba County FAX1KCALL ❑ WI ISSUED PERMIT tr (828) 46 -8952 Newton fax Number Application for Permit TO THIS NUMBER (828) 322 - 6N14 Hickory Fax ttitmiber www,catawtacountync.gov (Pieasa print of type) P_0 Box 389 Newton, NC 28658 **Now Type of Parmit X lectrical C Plumbing C] Mechanical I❑ Fire Date Active: Building / tdtobile Hurtle Permit # property IC # (if known) Use of S r �r>Ao ❑ uc:ure� Ibile Home Single family Q Multi family p Commercial E Industrial /Factory C] Church Owned 71 Gov't Owned © Accessary Physical 911 Andress of Project 10 7 0.E w 'D-vier or Business I LI m - rw q. d -+' Teiephorle Address _ Subcontrartar �`_ Ql ';/f'1CI 4.. _Telephone O ��� Address License e �8� — Gancral Contractor /� Telephone O' Fesign Professional _ Telephone - Address _ 14%.; r p rte' o7dr'CP37 NC Reg # z 416e ELECTRICAL Panel # 1 - Amps Panel # 2 Amps Parisi # 3 Amps Panel # 4 Amps ❑ New Parted f] Pole Service C] Wire Mechanical unit only (No Svc Chc) Totaltf__ ❑ Sjb Panel L] Service Change Amps._. C] Interior Wiring (No Service Change) Q Saw Service C � � L ad Control ❑ Plodular Home�� .zory ❑ Sign Service Lt'Mobile Rome � ..�r� ther (List) "List each panel ins.alled separately" 0 RV Service Total Electrical Cost $ PLUMBING 0 Full or Partial 13ath/7oilet Rrioms.(includes future.) ❑ Fire Sprinkler System { Q New n Addition ) Total number being instsllltad_ .... ._— ❑ Gas Line /Pressure Test only ❑ Motile home (neA Set -up only) ❑ Modular Home ❑ Water Haatet (Electric, Gas) ❑ Other (List) MECHANICAL (Check tine) ❑ New Installation ❑ Change out exiting system ❑ Heat pump or Furnacp with A/C Total #_ C Gas Line/ Pressure Test ❑ Furnace (Dil, Gas, or Electric) ''otal _ I❑ Gas Logs Total #_ ❑ Air Conditioner Total # _ ❑ Unit Heater Total # [? Water Hasher (ElectricrGasl Total # _ ❑ Modular Home ❑ Other (List) - -- FIRE (Cheek permit type applicable) ❑ Fire Extinguishing System Q Compressed Gases ❑ Spraying & Dipping ❑ Fire Alarm /Detection System ❑ Hazardous Materials [:1 Standpipe Systems 0 Fire Pumps & Related Equiornent 0 Industrial Oval's C Tamp. Membrane Structures ❑ I' & Combustible Liquids C PVT Fire Hvdrants C] other ' - Alt fi.ey entered by Permit Cerie:r, DOUBLE FED charged for work started prior to obtaining permit. "The undersigned makes application fur perrm'.s and inspection of work cue: oribed and agroas to comply with all applicable State, County codes; and lark regulating the work. PAIN NAM` A- l_/7`� _ � �rJO�.� _ - SIGNATURE - - l5uacunlrr3ct�ri L re Holder/Own NINSAW