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HomeMy WebLinkAboutELE2005-02867.tif FROM FRX NO. Dec. 28 2005 04:28PM P1 FILE W.691 12123 `05 15:!8 ID: I ADI T N '4X-Se, 396 22 , PME if � ($2$)"1165.8399 Circe Numt)er Catawba County FAX D CALL ❑ WITH ISSUED PERMIT � (aza) 488.898:2 Newton fax Nurnrw Appikation for Permit TO THIS NUMBER (828) 322 -6814 Kckory Fax Number -- www catawbacxrunlync.gov (terse print or type! P.0 BOX 389 Newton, NC 284 58 Type of Permit X Flechica) C1 PMbItrg D Mechanical q Fke Date _ IZ.'2.T -of ctiu�ftn Mo bile Home Permit# Ii ' — o 2j8 I Fhnperty ID # (If known 3(#Z4t992I 2,I9 _ ...._ Ilse of structure, Lj Mobile Moms ® Single tamIlY D M'Afi family D Commercial I] industriaWactory p G.hurch Owned D Gov't Owned Q Acceswry eg..Aaom Aacw rte, Physical 911 Address of Project I41-1 FCM t"cu+v lV&wraiu t+�C Z frost Owner or Business bars &Ta 0u te. Telephone Address 47 _ - "NGFOR.p o a%o& Nr rare NC- 2$4SS Sirbaorltracla �i�dan -- �'rltcr m f 6J% -4-, _ Telephone s?-t- 308 - fo4Y Addmss HQSQ cln Ic t"Q T � '7 , HC a License Cerl W Contractor 1 etephrsne 2 - 311p - Uesign Profession &J/+ Teirphorte Address - - _ - Reg # ELEG'i'FtfCAt. Parlef # 1 Amps Ferrel # , Amps Psfti 0 3 Arnpo Patted # 4 Amps D New Farrel D Poole Service D Note IiAecfrar►ical unit only Svc, D Sub Panel 0 Service Ctmnge An ._.. � Interior tag (N Ch �9) Tom_. _ .,, ❑ Saw Service D Load Control l� MoicltiiM Nome Cl tig Servlm ❑ Mobie Horne Q Other (LW) -'WV4 CM - VAlii Ser%Rc& 'Ltsteach panel Irtstowd separately` 0 RV Service Tats! Ekwg Cost *L iO PLUMBING Q Full or Partial BdWold Room s.(ktcl.ules future.) 1; Fire Spratkier System (0 Now D Addifon } Total number being ms%lled— 035 Liivh rgire TW only D Mobile home (now setup only) D Modular Horne p Water Heater (Elechic, Gast' D Other (List) MECHANICAL (Check Qne) C� New Ir►slsllstion L Chanp will exilln� syskxn AX IA q Heat Rump or Fumam wkh AIC Total # - -- D Gas tint Pressure Test LI Furnace (Qia, Gas, or Electric) Total # 0 Geis Lop T # D Air Candbxw Total # Urm Heuer TOW # ] Water Heater (EterArWC -W5) Total # Modular Flom FIK (Ct" point type applieabte) *I © F io E%&VuWft Sy9tam l7 Gompne Wo Gsasee sp" g Qppkv El Fire Alt nVOWAa tt System L tr azamous Material p SUM V0 sydem ❑ Fire Pernps & Related EqutFm fd Cl Industtiat Ovem Temp W mbmw Strucel m Q F lammable & Combustible Inds 0 PVT Fire hydrents 0 other *'AN fete tntereel hY fren�it anler. mrr ehr►tged two* 1Rir dwd prior to abwnine pma "Tho wrdw4l wd rrrattee Pen'nfs and k3pWWOR of work Msa b and agrees to canpiy imin ai ap*" Sral� C rrples rggl�agm� wMk. trx PRIN Y HA / {�rK Ci+ if SIGNATURE HoldertJwner