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'�� P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
�I L� Phone: (828)465 -8399
Fax: (828)465 -8962 PERMIT NO.: ELE2005 -02844
APPLIED: 11 /02/2005
- Web Site: www.catawbacountyne.gov ISSUED: 11/30/2005
II 18 Popular Pages / Online Permit Center EXPIRES: 05/30/2006
I
Ii SITE ADDRESS: 7836 PROVIDENCE CHURCH RD VALE NC
ASSESSOR'S PARCEL NO.: 267903237369
TYPE OF WORK: ALTERATIONS
!i TYPE OF USE: ASSEMBLY
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: CONNECT 2 CHANGED OUT GAS PAKS
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
PROVIDENCE BAPTIST CH C AMP ELECTRIC
7836 PROVIDENCE CHURC 300 HOUSER ST
VALE NC CHERRYVILLE
SWT # 100
Electrical Fixtures Fees
Fixture Type Amps Quantity Type By Date Amount
Reconnection Multiple Mech /Plb 1
PRMT RAG 11/30/2005 $50.00
Total: $50.00
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
period 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 8:00a m. and 5:00p.m.
(828) 465 -8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
i (828) 465 -6962 Newton Fax Number Application for Permit TO THIS NUMBER (_ )
'I (8z4) 322 -6814 Hickory Fax Number
www.catawbacountync.gov ,
(Please print or type) P.0 Box 389 Newton, NC 28658
Type of Permit Electrical El Plumbing E] Mechanical El Fire Date �d
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 ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factoryxchurch Owned ❑ Gov't Owned E] Accessory
li / /
Physical 911 Address of � Project
Owner or Business /'r�Vt/ Telephone
�r
Address 1' u vcl�C'c 'C
Subcontractor A/ �le e/ t Telephone 76 �- �V� �O .5 V
Address J6 0 5 4. c r 0/ /c License # a L
Jf
'I
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
❑ New Building Wiring ❑ Pole Service Tire unit only (No Svc Chg) Total#
❑ Additional Service (existing bldg) ❑ Service Chg. Amps ❑ Interior 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 $
El Service Repair Pool r ,erfom I Pon in - Assoc ted Wirirl
PLUMBING
Full or Partial Bath /Toilet R
/T t ooms Includes future.
Total number being nstalled as Line/Pressure T
❑ G est onl
9 Y
❑ 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 #
El Mobile Home
❑ Air Conditioner Total # — ❑ Unit Heater Total #
❑ Water Heater Electric /Gas Total # EI 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. "The undersigned makes application for
permits and inspection of work described and agrees to comply with all applicable State, County codes and law gul ting the work.
`PRINT NAME e C - 2 i SIGNATURE ,
(Subcontractor) icense HoAffOwner
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