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HomeMy WebLinkAboutELE2005-02869.tif Nov 22 05 03:53p Renee Lawrence 704335 -1017 p.1 (828) 465 -8399 Office Number t. ° 3 1tt "R (Countlip FAXJJ CALF_ ❑ WITH ISSUED PERNAIT (828) 455 -8982 Newton Fax Number Amlitf:' ion *. Permit TO THIS NUMBER ( ).3 + 161 (828} 3N2 -6814 Hickrsry Fax Number www.catawbacountync.gov (Please print or type) P.O Box 389 Newton, NG 28658 Type of Pe rmit jai Electrical p Plumbing (l Mechanical D Fire Date T / � - a I - CIS Active Building / Mobile Horne Permit # a0CL -5 ODL„�6 I j Property I€7 4 (if known', Use of structure= El Mobile Name Single family Q Mufti family Q Commercial [� Industrial/Factory © Church Owr: ❑ Gov't Owned D accessory Physical 911 Address of Project -502j Owner or Business Jc r S Telephorxe� I(ig - -;J Address .5.2 ri flin'f' A L. ;?,601 Subcontractor z_a &, rn c c F, f ec.4r- i (- Con Telephone ?y 33.S 17o j 1 1 Address /0: tY7 c C1 r�f'A n ( CL Csk �C . License # A31S- General Contractor Telephone i Desigr} Professional Telephone Address NC Reg 4 ELECTRICAL Panel 4 1 Amps Panel # 2 Amps Panel 113 Amps Panel a 4 Amps ❑ New Panel © Pole Service D Wire Mechanical unit only (No Svc GIN) Totaltl_ ❑ Sub Panel L! Service Change Amps ❑ Interior Wiring (No Service Change) ❑ Saw Service Load Control D Modular Horne ❑ Sign Service © Mobile Houle ❑ Other (List) 'List each panel installed separately' 0 RV Service Total Electrical Cost $ PLUMBING ❑ Full or Parlial BathJToilet Rooms.(Includes future.) D Fire Sprinkler System ( D New p Addition) i'otal number being installed_ El Gas LineJPressure Test only j D Mobile dome (new set -up only) ['ii Modular Home Q Water Healer (Electric, Gas) Q Other (List) MECHANICAL (Check One) D New Installation Q Change out exiting system Q Heat Pump or Furnace with A1C Total #_ Q Gas Lane/ Pressure Test D Furnace (Oil, Gas, or Electric) Total # _ D Gas Logs Total Fi Air Conditioner Total If ❑ Unit Heater Total # G Water l-leater (ElectricJGas) Total F ❑ Modular Home El Other (L ------ - - -___ _ —_ - FIRE (Check permit type appiicabls) E1 Fire Extinguishing System ❑ Compressed Gases [I Spraying & Doping j ❑ Fire Alarm/Detection System - ❑ Hazardous Materials D Standpipe System © Fire Pumps & Related Equipment Industrial Ovens ❑ Term. Membrane Sinxiures Q Flammable & Combustible Liquids Q PVT Fire Hydrants ❑ Other "All fees entered by Permit fomenter. DOUBLE FEE charged for work started prior to obtaining permit. undersigned makes application for permits and inspection of work descr' and agrees to comply with all applicable Stale, G=Cows gutating the work. SIGNATURE PRINT NAME '" iS ;rbcaritraclo:t License Hcrlde►tC}wner