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P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
Phone: (828)465 -8399
,J Fax: (828)465 - 8962 PERMIT NO.: ELE2005 -02840
APPLIED: 11102/2005
Web Site: www.catawbacountync.gov ISSUED: 11/02/2005
?8.4 2 i Popular Pages / Online Permit Center EXPIRES: 05/02/2006
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SITE ADDRESS: 3994 RIVER RD HICKORY NC
ASSESSOR'S PARCEL NO.: 371009074332
TYPE OF WORK: REPAIRS
I II TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: sf
0
PHYSICAL DIRECTIONS: RIVER RD/ TAKE DRIVEWAY INTO WATER TREAMENT PLANT
(ACROSS FROM HIDDEN CREEK S /D)/ TAKE 1 ST DRIVE ON LEFT/
TRAILER IN WOODS
PROJECT DESCRIPTION: REPLACE STORM DAMAGED SERVICE ON S/W
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
SHELIA W MARTIN KENWORTHY ELECTRIC COMPAN'
3994 RIVER RD PO BOX 3210
HICKORY NC 28602 -8949 HICKORY
SWT #6972
Electrical Fixtures Fees
Fixture Type Amps Quantity
Manufactured Home 1 Type By Date Amount
PRMT SES 11/0212005 $44.00
Total: $44.00
This permit is issued on the express condition that the above work shall conformin 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 Ist 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
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(828) 465 -8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
(82tj 465 -8962 Newton Fax Number Application for Permit TO THIS NUMBER (_ )
(828) 322 -6814 Hickory Fax Number
www.catawbacountync.gov
i (Please print or type) P.0 Box 389 Newton, NC 28658
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Type of Permit p'tlectrical ❑ Plumbing ❑ Mechanical ❑ Fire Date Z — G 5
Active Building / Mobile Home Permit # Property ID # (if known)
II * If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of structure: obile Home ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of P roject
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Y �
Owner or Business �j /j /kL,� Telephone
Address
Subcontractor Telephone ��2 6`3 X6 7
Address C � ,S 2- f �} License # ,�
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL (List each panel separately) Panel # 11nL Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Building Wiring ❑ Pole Service ❑ Wire Mechanical 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 Rq))++ O w
❑ Saw Service 29obile Home ❑ Other (List)
❑ Sign Service ❑ Modular Home Total Electrical Cost $
❑ Service Repair ❑ Swimming Pool (work you will perform) _ Bonding .___._Associated Wiring
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
❑ Air Conditioner Total # _ ❑ Unit Heater Total #
❑ Water Heater (Electric /Gas) Total # _ ❑ 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 undersign makes application for
permits and inspection of work described and r comply with all applicable State my cod an laws gulatin ork.
PRINT NAME �S taD�2 SIGNATU
(Subcontractor) License Holder
/Owner
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