HomeMy WebLinkAboutELE2005-02871 (2).tif Apr 20 06 08:49p SCOTT TRIPLETT 828 - 726 -1228 p.1
„ (82U} 465.8399 Office Number Catawba County FAX Na ❑ WITH ISSUED PERMIT #
(828) 465 -&%2 Newton Fax Number Application for Permit TO THIS NUMBER ( 7,76 - / .Z29
(828) 322 -6814 Hickory Fax Number
www.catawbacountync.gov
(Please print or type) P.0 Box 389 Newton, NC 28658
Type of Permit 2 ❑ Plumbin El Mechanical E3 Fire Date A0" /9,
,rc, x=0 - oa S7/
Active Building/ Mobile Home Permit # IM 20a:S - 0.399' Property ID # (if known) 3 700 1 f 931 6L5D
*If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of structure: ❑ Mobile Home [0 Single family ❑ Multi family ❑ Commercial ❑ Industrial/Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project 7 Q 75 ��1,P�t/> T 5T,
Owner or Business 1>A it P z F- r n Telephone
Address
!, Subcontractor �7Q,.Jt `t�Zf E r�Q"�t C_ _ �1C., Telephone 62� 7.26 - /ZZp
Address ;�,2 AIC1Zrn,4nl >?Vf, /,4C., License # _1 96 L U
General Contractor ('c/STO M IA2M& Telephone
Design Professional Telephone
Address NC Reg #
ELECTRI L (List each panel separately) Panel # 1,,JM Amps Panel # 2, "Amps Panel # 3 Amps Panel # 4 Amps
53 New Building Wiring ❑ Pale Service ❑ Wire Mechanical unit only (No Svc Chg) Total#
❑ Additional Service (existing bldg) ❑ Service Change Amps_ ❑ Interior Wiring (No Service Change)
❑ Addition of Sub Panel ❑ Load Control ❑ RV Service
❑ Saw Service ❑ Mobile Home ❑ Other (List)
❑ Sign Service ❑ Modular Home
❑ Service Repair Total Electrical Cost $
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
I ❑ Air Conditioner Total # _ ❑ Unit Heater Total # •_
❑ Water Heater (ElectrictGas) Total # _ Cl Modular Home
FIRE (Check permit type applicable)
❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire Afarm/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. t
PRINT NAME ti1Jr f Cz( tT 1 CT !C , .JCs_ SIGNA TLff) — � _
(Subcontractor) —� s ense erlOwne
G! \BLD \PTeb Page Bid Srvs & Permit Ctr \Blank Applications \2004 -06 TRADEAPPLNEWREVISED.DOCCreated on 06109;2004 1:07
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